AN ACT CONCERNING REDUCED MEDICAID REIMBURSEMENTS FOR MULTIPLE HOME HEALTH VISITS TO THE SAME HOUSING FACILITY.

Plain English Breakdown

The official source material does not specify if this applies to other types of home visits besides behavioral health ones.

Medicaid Reimbursement for Behavioral Health Visits

This act requires Medicaid to pay the same rate for each visit from a behavioral health worker to buildings with more than one resident, regardless of how many visits are made.

What This Bill Does

• Changes the rules about how much Medicaid pays for each visit from a behavioral health worker to a building housing more than one person.

Who It Names or Affects

• Behavioral health workers who visit people in their homes.
• People living in buildings with more than one resident who receive Medicaid services.
• The Connecticut Department of Social Services, which manages Medicaid payments.

Terms To Know

Medicaid

A government program that helps pay for medical care for people with low income or disabilities.

Behavioral health practitioner

A person who provides mental health services, like a psychologist or social worker.

Limits and Unknowns

• The bill does not specify the exact reimbursement rate.
• It is unclear if this change applies to other types of home visits besides behavioral health ones.

Official Summary Text

To provide the same Medicaid reimbursement rate for each behavioral health home visit to a building housing more than one resident rather than reduced rates for subsequent visits to the same building by the same behavioral health practitioner.

Current Bill Text

LCO No. 989 1 of 1

General Assembly Proposed Bill No. 5199
February Session, 2026 LCO No. 989

Referred to Committee on HUMAN SERVICES

Introduced by:
REP. MARTINEZ, 22nd Dist.

AN ACT CONCERNING REDUCED MEDICAID REIMBURSEMENTS
FOR MULTIPLE HOME HEALTH VISITS TO THE SAME HOUSING
FACILITY.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:

That section 17b-242 of the general statutes be amended to require the 1
Commissioner of Social Services to provide the same Medicaid 2
reimbursement rate for each behavioral health home visit to a building 3
housing more than one resident rather than reduced rates for 4
subsequent home visits to the building by the same behavioral health 5
practitioner. 6
Statement of Purpose:
To provide the same Medicaid reimbursement rate for each behavioral
health home visit to a building housing more than one resident rather
than reduced rates for subsequent visits to the same building by the
same behavioral health practitioner.