Connecticut Medicaid MNT coverage: codes, limits and referrals
The short answerSince July 1, 2025 Connecticut Medicaid covers MNT under its Preventive Services benefit when a certified dietitian-nutritionist enrolled in Medicaid provides it for state-specified conditions. The limit is 3 hours per calendar year, with 3 more by prior authorization. Fee amounts are on the ctdssmap.com fee schedule download.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Connecticut. Public policy, not the member's benefits.
Connecticut Medicaid
Medicaid (State Plan Amendment 25-0026, Preventive Services) · Connecticut
| 97802 | Not named (the State Plan page describes MNT components but lists no CPT codes.) [1] |
|---|---|
| 97803 | Not named (the State Plan page describes MNT components but lists no CPT codes.) [1] |
| G0270 | Not published |
| G0271 | Not published |
| Where it applies | Added effective July 1, 2025 (approved Dec. 19, 2025) for all categorically needy and medically needy groups. [1] |
| Diagnoses | Covered for nutritional management of covered medical conditions identified by the state, for specified diagnosis codes. The State Plan page does not list the diagnoses. [1] |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Three hours per calendar year. An additional three hours per calendar year may be approved by prior authorization if medically necessary. [1] |
| Referral and prior auth | MNT is recommended by a physician or other licensed practitioner of the healing arts operating within their scope under state law. [1] |
| Who can bill | Certified dietitian-nutritionists enrolled in Connecticut Medicaid, certified by the Connecticut Department of Public Health. [1] |
| Payment | State fee schedule rates set as of July 1, 2025, published on ctdssmap.com (Provider, then Provider Fee Schedule Download). Amounts were not read. [1] |
Check a Medicaid claim against the row
Before a Connecticut Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see.