Overview

Connecticut Medicaid is required to cover telemedicine services for categories of health care that the commissioner determines are appropriate, cost effective and likely to expand access to medically necessary services where there is a clinical need for those services to be provided by telehealth or for Medicaid recipients for whom accessing appropriate health care services poses an undue hardship. An additional law requires reimbursement of audio-only telehealth under certain circumstances and reimbursement for services provided by means of telehealth to the same extent as if the service was provided in person.

The CT Medicaid Program manuals do not mention reimbursement for telemedicine though provider bulletins do indicate coverage and reimbursement for some services, including those rendered via audio-visual and audio-only modalities. At the beginning of 2025, DSS also added procedure codes to the physician office and outpatient fee schedule for billing e-consults. CT Medicaid has created a Telehealth Information page with FAQs and a CMAP Telehealth Table, which includes a list of procedure codes approved to be rendered via telehealth.

SOURCE: CT Statute 17b-245e; CT Statute 17b-245g; CT Dept. of Social Services Provider Bulletin 2023-38. REVISED Guidance for Services Rendered via Telehealth. May 2023 & CT Policy – Provider Bulletin 2024-81. Dec. 2024. (Accessed May 2025).