MedicaidPrior AuthHigh impact
New Autism Spectrum Disorder Services
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry·Provider Bulletin
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid introduces new autism spectrum disorder (ASD) services for members under 21, effective July 1, 2016. Multiple new billing codes are established including H0032 with TS modifier for Program Book development, H0046 for Direct Observation, 0372T for group treatment, and 0364T/0365T for technician services (effective September 1, 2016). All ASD services require prior authorization from Beacon Health Options.
Action Required
By July 1, 2016: Billing team must obtain prior authorization from Beacon Health Options for all ASD services before providing care to Connecticut Medicaid members under 21. Update billing system to use new codes: H0032 with TS modifier for Program Book development, H0046 for Direct Observation (15-minute increments), 0372T for group treatment (45-minute minimum). By September 1, 2016: Replace H2014 with 0364T (initial 30 minutes) and 0365T (subsequent 30-minute units) for technician/BCaBA services in non-clinic settings. Ensure only qualified BCBAs and licensed practitioners provide group services and develop Program Books. Claims without prior authorization will be denied.