Back to dashboard
MedicaidReimbursementMedium impact

Hospital Monthly Important Message - 03.16.2026

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) updated procedure codes and payment rates effective January 1, 2026, including significant rate reductions for lab codes 81517, 84393, 84394, and 86581. The system has processed automatic adjustments and claims will appear on March remittance advice with specific ICN codes.

Action Required

Action needed
Immediately: Review March 10, 2026 Remittance Advice for reprocessed claims with ICN codes beginning with 61 or 27. Download updated CMAP Addendum B V27.0 from www.ctdssmap.com to verify current procedure codes and rates. Billing team must update fee schedules with new lab rates - CPT 81517 reduced from $352.38 to $123.33, codes 84393/84394/86581 now pay $90.24/$90.24/$64.42 respectively.

Affected Billing Codes

81517
84393
84394
86581