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Coverage for Electronic Consultations (E-Consults) Performed by HUSKY Health Providers pdf

Connecticut Medicaid (HUSKY Health)·CT · Cardiology, Dermatology, General Surgery +13 more·Provider Bulletin
Effective date
Jul 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) will now reimburse select enrolled specialists for electronic consultations (e-consults) when rendered as part of established office or outpatient visits. Four new CPT codes (99446-99449) are being added to the fee schedule with specific reimbursement rates ranging from $13.42 to $43.80 based on consultation duration.

Action Required

Action needed
Effective July 1, 2017: Eligible specialty providers must enroll in CMAP provider network to bill for e-consults. Update billing systems to include CPT codes 99446-99449 with corresponding rates ($13.42-$43.80). Ensure secure HIPAA-compliant electronic transmission system (such as DIRECT Secure Messaging) is available. Train staff on time-based billing requirements (5-10 mins, 11-20 mins, 21-30 mins, 31+ mins) and documentation requirements per Connecticut regulations 17b-262-349 and 17b-262-1004.

Affected Billing Codes

99446
99447
99448
99449