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Connecticut Medicaid (HUSKY Health)Medicaid · Reimbursement · Reimbursement · CTMedium impact

2026.07 - Provider Bulletin - January 2026 - Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes

Act
immediately
Effective date
Jan 1, 2026
Identified
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.

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What to do

immediately · 4 steps
01Billing 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.
02Code 81517 will auto-reprocess in February 20, 2026 cycle (visible on February 24 remittance).
03Monitor for banner messages regarding reprocessing timeline for other codes.
04Download updated lab fee schedule from www.ctdssmap.com under Provider Fee Schedule Download.

Codes mentioned

81517843938439486581

Original notice

2026.07 - Provider Bulletin - January 2026 - Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes
ctdssmap.com · Always check the source before changing claims.
View original ↗

Related changes

See all Connecticut Medicaid (HUSKY Health) changes →
Hospital Monthly Important Message - 03.16.2026MediumEffective Jan 1, 2026 · Provider BulletinBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesCode 81517Code 84393Code 84394Code 86581

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