Back to dashboard
MedicaidDocumentationMedium impact

Split/Shared Medical Visits

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Oct 1, 2016
We identified it
Jun 20, 2026
Days to comply
—

Summary

Connecticut Medicaid now allows shared/split visits between physicians and non-physician practitioners (PAs, APRNs, CNMs) to be billed under the physician's provider number for 100% reimbursement, provided specific documentation requirements are met including face-to-face physician encounter and clear justification for physician involvement.

Action Required

Action needed
Immediately: Billing team must update workflows for shared visits in Connecticut Medicaid cases. Ensure documentation includes: clear reason for physician involvement beyond NPP work, physician documentation of their specific services, physician attestation or separate plan of care notes, signatures from both providers, and service date. Train providers that physician must have face-to-face encounter - cannot just review and sign NPP notes. Claims without proper documentation will be paid at lower NPP rates.

Related policy hubs