MedicaidReimbursementMedium impact
2026.07 - Provider Bulletin - January 2026 - Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is adjusting reimbursement rates for four clinical diagnostic laboratory codes (81517, 84393, 84394, 86581) effective retroactively to January 1, 2026, to comply with federal law requiring Medicaid payments not exceed Medicare rates. Code 81517 drops significantly from $352.38 to $123.33.
Action Required
Immediately: Billing team must update fee schedules in billing system for Connecticut Medicaid patients using codes 81517, 84393, 84394, and 86581 with new rates effective January 1, 2026. Code 81517 will auto-reprocess in February 20, 2026 cycle (visible on February 24 remittance). Monitor for banner messages regarding reprocessing timeline for other codes. Download updated lab fee schedule from www.ctdssmap.com under Provider Fee Schedule Download.