Starting March 31, 2024, we will implement an update to ConnectiCare’s coverage requirements for behavioral health wellness exams as required by the Massachusetts Department of Insurance. ConnectiCare will cover a behavioral health wellness exam one time per year, with no member cost-share, when billed with CPT code 90791, diagnosis code Z13.30, and modifier 33. There are no member age restrictions for this coverage.
ConnectiCare’s Commercial Preventive Services Grid was updated to reflect this change.
