Reimbursement rate update for home infusion therapy

As a reminder, if you are reporting home infusion therapy services for multiple dates of service for the same CarePartners of Connecticut member, you should report a separate line for each date of service with the applicable procedure code(s) and number of units for that date.  

Consistent with industry standard correct coding guidelines, CarePartners of Connecticut requires that modifier SH (second concurrently administered infusion therapy) or SJ (third or more concurrently administered infusion therapy) be included as appropriate. Effective for dates of service beginning Dec. 1, 2025, we will reimburse subsequent concurrent infusions (identified by SH or SJ) at 50% of the standard rate/fee schedule amount. 

For more information, please refer to our updated Home Infusion Payment Policy.