Who is affected by this change?

This affects Connecticut Medicaid (HUSKY Health) Occupational Therapy providers in CT on Medicaid plans.

When does this change take effect?

This change is effective Oct 1, 2025.

Which billing codes are affected?

The following codes are affected: S0274, S5108, G9002, G9006.

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MedicaidReimbursementMedium impact

DSS Important Message - 10% Rate Add-On Extended for COPE, Confident Caregiver, and CAPABLE Services through 09.30.2025

Connecticut Medicaid (HUSKY Health)·CT · Occupational Therapy·Reimbursement

Effective date

Oct 1, 2025

We identified it

Jun 20, 2026

Days to comply

—

Summary

The 10% rate add-on for COPE, Confident Caregiver, and CAPABLE services has been extended through September 30, 2025, maintaining higher reimbursement rates of $31.16 per 15 minutes. After October 1, 2025, rates will decrease to $28.33 per 15 minutes for all affected services.

Action Required

Action needed

By September 30, 2025: Billing team must update fee schedules for COPE/Confident Caregiver and CAPABLE services to reflect the rate change from $31.16 to $28.33 per 15 minutes effective October 1, 2025. Update billing system with new rates for codes S0274, S5108, G9002, and G9006 to ensure proper reimbursement calculation after the extension period ends.

Affected Billing Codes

S0274

S5108

G9002

G9006

Related policy hubs

Connecticut Medicaid (HUSKY Health) policies CT policy changes Occupational Therapy Code S0274 Code S5108 Code G9002 Code G9006