MedicaidBilling CodesMedium impact
Important Changes to Evaluation and Assessment Services for Home Health Care Services - Addition of Review of Care Plan Code-G0162
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Apr 1, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is adding new HCPCS code G0162 for home health care plan review services effective April 1, 2017. Home health agencies must bill this code for required 60-day care plan reviews by registered nurses, with a maximum of 6 units allowed per review period.
Action Required
By April 1, 2017: Home health agencies must update billing systems to include new HCPCS code G0162 for care plan reviews every 60 days (maximum 6 units per review). Continue using T1001 with TD modifier for initial assessments and resumption of care. Update fee schedules to reflect G0162 rate calculation (T1001-TD rate divided by 4). Only applies to HUSKY Health members (Medicaid/CHIP), not Medicare patients.