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

Plain English Breakdown

The bill has passed both chambers but no effective date is listed in the provided text; implementation timing remains uncertain until further executive or legislative action occurs.

Same Payment Rate for Multiple Home Health Visits in Multi-Resident Buildings

This bill requires Medicaid to pay the full rate for every home visit a behavioral health worker makes to a building with more than one resident, instead of lowering payment rates for later visits by the same worker.

What This Bill Does

• Amends section 17b-242 so that each behavioral health home visit in multi-resident buildings gets the same Medicaid reimbursement rate.
• Stops reduced payment rates for second or later visits to the same building when made by the same practitioner.

Who It Names or Affects

• Behavioral health practitioners who make home visits
• The Commissioner of Social Services

Terms To Know

Medicaid reimbursement rate

The amount Medicaid pays a provider for giving care.

Behavioral health practitioner

A worker who provides mental or emotional health services to patients at home.

Limits and Unknowns

• The official text does not state when this law will take effect.
• This rule only applies to buildings housing more than one resident, not single-family homes.

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.