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Connecticut Behavioral Health Reimbursement Rates

Connecticut behavioral health billing requires state-specific Medicaid enrollment, payer-specific authorization rules, and credential verification before claim submission.

Medicare 90837

$183.70

Medicaid 90837

$128.59

Commercial (est.)

$180.00$210.00

Key CPT Code Rates — Connecticut

CPT 90791

Diagnostic Evaluation

Medicare: $190.69

Medicaid: $133.48

CPT 90832

Psychotherapy, 30 min

Medicare: $94.42

Medicaid: $66.10

CPT 90834

Psychotherapy, 45 min

Medicare: $125.29

Medicaid: $87.70

CPT 90837

Psychotherapy, 60 min

Medicare: $183.70

Medicaid: $128.59

Medicaid in Connecticut

Connecticut Medicaid uses a managed care model. Published estimates approximate 70% of Medicare for key outpatient behavioral health CPT codes — actual fee schedule dollars vary by code and provider type.

Master's-level clinicians typically receive 75–80% of psychologist rates for identical psychotherapy CPT codes under most state Medicaid fee schedules.

Source: Connecticut Medicaid fee schedule (effective 2026-01-01).

Explore Connecticut Rates

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