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24 Hour Live in Guidance Related to 8:00 am Check-in/Check-out Policy

Connecticut Medicaid (HUSKY Health)·Provider Bulletin
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

New policy clarifies that 24-hour live-in PCA services now use 8:00am check-in/check-out times instead of midnight, but billing and care plan authorizations still follow the midnight-to-midnight framework. Prorated billing occurs when shifts are incomplete, using specific codes for prorated versus full per diem services.

Action Required

Action needed
Immediately: Billing team must update EVV scheduling to create separate schedules for partial live-in shifts (using 8:00am boundaries) while maintaining midnight-to-midnight date of service billing. Use code 1225Z for prorated PCA services and 1023Z for full per diem services. Ensure visit maintenance adjusts hours for partial shifts. Note: This does NOT apply to 12-hour overnight PCA services.

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