MedicaidReimbursementMedium impact
Rate for Live-In Person Care Assistant Service
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Nov 12, 2015
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated reimbursement rates for Personal Care Assistant (PCA) services, implementing new minimum wage and overtime requirements under the Fair Labor Standards Act. New rates took effect November 12, 2015 with additional increases January 1, 2016, affecting billing for 24-hour and overnight PCA services.
Action Required
By November 12, 2015: Billing team must update fee schedules with new PCA service rates - Code 1023Z to $225.00, Code 1022Z to $167.78, Code 1225Z to $9.38, Code 3022Z to $13.98. Update rates again January 1, 2016 to higher amounts. Ensure proper billing of partial day PCA services using hourly codes (1225Z/1227Z) when less than 24 hours provided in calendar day.