MedicaidCoverageMedium impact
Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Primary Care
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now covers SBIRT (Screening, Brief Intervention, and Referral to Treatment) services for substance abuse screening in primary care settings. Primary care providers can bill CPT codes 99408 and 99409 for these services, with enhanced rates for attested providers.
Action Required
Immediately: Primary care providers should begin billing CPT 99408 (15-30 minutes) or 99409 (>30 minutes) for SBIRT services. Use modifier 25 when billing with E&M codes on same date. Document screening tool used, score obtained, time spent, and actions taken. FQHCs should use T1015 code along with SBI codes. Outpatient hospitals use revenue codes 510, 515, 450, or 456.