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
Frequently Asked Questions (FAQs) and Answers
Events
SUD SYSTEM INTEGRATION: ENHANCING THE PATIENT JOURNEY THROUGHOUT THE CONTINUUM OF CARE
Providers from the inpatient withdrawal management, inpatient psychiatric, emergency department, and Substance Use Disorder (SUD) residential levels of care to convene for a collaborative discussion to enhance the delivery of SUD services. This workgroup aims to support the coordination of referrals throughout the continuum and offer a platform in which providers can share challenges and successes with referring to ASAM 3.3-3.7 levels of care.
Topics covered:
- Overview of the ASAM 3.3-3.7 levels of care
- Spotlight from providers on their experience in making referrals under the 1115 waiver
- ASAM resource tool and training opportunities
Recovery Resources
- DHMAS Addiction Services Bed Availability
- Changing Pathways
- Medications for Substance Use Disorder Treatment
Templates
- Registration Template for Residential Services
- Registration Template for IOP Services
- Registration Template for PHP Services
- Release of Information (ROI)
Manuals
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
