2026.36 - Provider Bulletin - Behavioral Health Integration - Psychiatric Collaborative Care Model (CoCM)

By July 1, 2026: (1) Billing team must configure billing system to recognize and process CPT codes 99492, 99493, 99494, and HCPCS code G2214 for HUSKY Health (CT Medicaid) claims. (2) Update encounter forms and templates to capture: treating practitioner initiating visit with documented medical necessity, member consent (written or electronic), behavioral health care manager monthly time (direct clinical work + collaboration time), mode of delivery (telehealth or in-person), and treating practitioner co-signature during the service month. (3) Providers and care teams must implement monthly integrated patient registry, validated clinical tool assessments, and progress tracking before billing. (4) Establish care team structure: treating practitioner (MD/DO/PA/APRN/CNM) must bill and oversee; psychiatric consultant (Psychiatrist/Psychiatric APRN/PA-psychiatry) at minimum OPR-enrolled; behavioral health care manager (licensed or associate-licensed clinician) fully enrolled. (5) Verify all practitioners meet enrollment requirements in HUSKY Health before rendering services. (6) Document all CoCM services in medical record including dates, time per service, mode of delivery, and ensure treating practitioner co-signs monthly. (7) Set system alerts to terminate CoCM services and prevent rebilling after 6 consecutive months without services or if treatment goals are met. Failure to meet all CoCM model elements or obtain required documentation will result in claim denials. Refer to CT DSS CoCM FAQs on www.ctdssmap.com for detailed care team role specifications.