In April of 2022, the Department of Social Services (DSS), the Department of Mental Health and Addiction Services (DMHAS) and the Department of Children and Families (DCF) received approval to implement a Section 1115 Substance Use Disorder Demonstration Waiver. This demonstration includes an expansion of substance use disorder (SUD) services for all HUSKY Health members, including the Children’s Health Insurance Plan (CHIP), or HUSKY B members. What this expansion allows is coverage for residential and inpatient SUD treatment, as well as all levels of withdrawal management.
Level of Care Guidelines
Provider Resources
RESIDENTIAL SERVICES
- ASAM Level 3.1: Clinically Managed Low -Intensity Residential Services
- ASAM Level 3.3: Clinically Managed Population Specific High-Intensity Residential Services
- ASAM Level 3.5: Clinically Managed High-Intensity Residential Services
- ASAM Level 3.7: Medically Monitored Intensive Inpatient Services
- ASAM Level 3.7 & 4.0: Medically Managed Withdrawal Management Services
AMBULATORY SERVICES
PROVIDERCONNECT TUTORIALS
- Viewing and Printing Authorizations
- Running an Authorization Report
- Pended Review Documentation Workflow
- Uploading an ROI – video
Frequently Asked Questions (FAQs) and Answers
Referral Resources
- To be posted
Recovery Resources
- DHMAS Addiction Services Bed Availability
- Changing Pathways
- Medications for Addiction Treatment (MAT)
Templates
- Registration Template for Residential Services
- Registration Template for IOP Services
- Registration Template for PHP Services
- Release of Information (ROI)
Manuals
- ProviderConnect Registration for Withdrawal Management Services
- ProviderConnect Registration Manual for Ambulatory Services 2.1 (IOP)
- ProviderConnect Registration Manual for Ambulatory Services 2.5 (PHP)
Bulletins
2024
- Place of Service (POS) Requirements for Substance Use Disorder (SUD) Treatment
(PB 2024-09)
To: Free-Standing Substance Use Disorder (SUD) Residential Treatment Facilities
2023
- Uploading Release of Information (ROI) to Authorization Review in ProviderConnect
(PN 2023-17)
To: CT BHP Substance Use Disorder Inpatient/Residential Treatment Facilities - Concurrent Review End Dates and Continued Stay Request Submission Timeframes
(PN 2023-16)
To: CT BHP Substance Use Disorder Inpatient/Residential Treatment Facilities - Clinical Treatment Hours for Substance Use Disorder (SUD) Intensive Outpatient (IOP) and Partial Hospitalization (PHP) Programs
(PB 2023-51)
To: Behavioral Health Clinics, Enhanced Care Clinics, Outpatient Drug and Alcohol Abuse Centers, Outpatient Hospitals - Reimbursement for Intermediate Substance Use Disorder Treatment at Behavioral Health FQHCs
(PB 2023-50)
To: Behavioral Health Federally Qualified Health Centers (FQHCs) - Reimbursement for Intermediate Substance Use Disorder (SUD) Treatment at Outpatient Hospitals
(PB 2023-09)
To: Outpatient Hospitals - Billing Clarification for Intermediate Substance Use Disorder (SUD) Treatment
(PB 2023-01)
To: Behavioral Health Clinics, Enhanced Care Clinics and Outpatient Drug and Alcohol Abuse Centers
2022
- Ambulatory Withdrawal Management Billing Guidelines
(PB 2022-91)
To: All CT BHP Providers - Reimbursement for Intermediate Substance Use Disorder (SUD) Treatment at Behavioral Health Clinics, Enhanced Care Clinics and Outpatient Drug and Alcohol Abuse Centers
(PB 2022-86)
To: Behavioral Health Clinics, Enhanced Care Clinics and Outpatient Drug and Alcohol Abuse Centers - System Enhancements for Withdrawal Management Treatment Services
(PA 2022-04)
To: General Inpatient and State Institution Psychiatric Hospitals, Freestanding Drug and Alcohol Abuse Centers
- Implementation of Medicaid Reimbursement for SUD Inpatient Treatment at State-Operated and Private Psychiatric Hospitals Pursuant to Section 1115 Demonstration Waiver for Services Previously Excluded from Coverage by Federal Law
(PB 2022-21)
To: State Operated and Private Psychiatric Hospitals Providing Inpatient Substance Use Disorder (SUD) Treatment as the Primary Inpatient Treatment Service
- Implementation of Medicaid and Children’s Health Insurance Program (CHIP) Reimbursement for SUD Treatment at Free-Standing Residential Treatment Facilities
(PB 2022-39)
To: Free-Standing Substance Use Disorder (SUD) Residential Treatment Facilities