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Connecticut Medicaid (HUSKY Health)Medicaid · Reimbursement · Reimbursement · CT · OB-GYN, Family Medicine, Internal MedicineMedium impact

2026.18 - Updates to the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices

Act
by Apr 1, 2026
Effective date
Apr 1, 2026
Identified
Jun 20, 2026

Summary

Connecticut Medicaid (CMAP) updated reimbursement rates for long-acting reversible contraceptive (LARC) devices effective April 1, 2026. New rates range from $1,059.52 to $1,272.44 for physician offices/outpatient settings, with separate FQHC rates of $329.00 for select devices.

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What to do

by Apr 1, 2026 · 3 steps
01Billing team must update fee schedules in billing system with new Connecticut Medicaid rates: J7296 (Kyleena) and J7298 (Mirena) to $1,272.44, J7301 (Skyla) to $1,059.52 for physician office/outpatient settings.
02FQHCs must update J7296 and J7301 to $329.00.
03Download updated fee schedule from www.ctdssmap.com Provider Fee Schedule section.

Codes mentioned

J7296J7298J7301

Original notice

2026.18 - Updates to the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices
ctdssmap.com · Always check the source before changing claims.
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