MedicaidBilling CodesHigh impact
DSS Important Message - CoCM Frequently Asked Questions
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, General Practice, Family Medicine +1 more·Provider Bulletin
We identified it
Aug 1, 2026
Summary
Connecticut CMAP has issued clarification on Psychiatric Collaborative Care Model (CoCM) billing requirements. Key points: Code 99484 (general BHI) is NOT reimbursed by CMAP—only specific CoCM codes are covered. Psychiatric consultants and behavioral health care managers may work in different practices but must be employed or contracted by the treating/billing practitioner. Both must meet specific HUSKY Health enrollment requirements. Claims must report place of service where the treating practitioner ordinarily provides face-to-face care.
Action Required
Immediately: (1) Billing team must STOP billing CPT 99484 for all CMAP members effective now. Update billing system rules to deny or reject 99484 claims for Connecticut Medicaid. (2) Providers and billing staff must use only the applicable CoCM-specific procedure codes (reference PB 2026-36 for complete code list). (3) Update all CoCM encounter forms and templates to remove 99484 as an option and direct providers to correct CoCM codes. (4) Verify that all psychiatric consultants are enrolled in HUSKY Health as minimum Ordering, Prescribing, Referring (OPR) providers and behavioral health care managers are fully enrolled and active—audit current contracts immediately. (5) Confirm that psychiatric consultants and behavioral health care managers have valid employment or contract agreements with treating/billing practitioners in your practice; update contracts if needed. (6) Train billing staff and providers on correct CoCM code selection and care team structure. (7) Identify any outstanding 99484 claims for CMAP members; correct and resubmit with appropriate CoCM codes before they are denied. Claims submitted with 99484 will be denied without exception.