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

2026.16 - Updates to the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types

Act
by Apr 24, 2026
Effective date
Jan 1, 2026
Identified
Jun 20, 2026

Summary

Connecticut Medicaid (HUSKY Health) increased reimbursement rates for obstetric surgical, radiology, and office services under OBS and FTO rate types to 120% of 2025 Medicare physician fee schedule, effective retroactively to January 1, 2026. Claims meeting the increased rates will be automatically adjusted on April 24, 2026.

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What to do

by Apr 24, 2026 · 3 steps
01Review April 29, 2026 Remittance Advice for systematic adjustments to obstetric claims.
02Billing team should ensure usual and customary charges are billed for all Connecticut Medicaid obstetric services to maximize reimbursement under the new 120% Medicare rate structure.
03Download updated fee schedules from www.ctdssmap.com and verify OBS/FTO rate eligibility criteria are met for all obstetric claims.

Codes mentioned

768017680276818768057681076811768127681576817

Original notice

2026.16 - Updates to the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types
ctdssmap.com · Always check the source before changing claims.
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