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Connecticut Medicaid (HUSKY Health)Medicaid · Billing Codes · Provider Bulletin · CTHigh impact

Hospital Monthly Important Message - 08.18.2025

Act
immediately
Effective date
Jul 1, 2025
Identified
Jun 20, 2026

Summary

Connecticut Medicaid (CMAP) updated procedure codes and payment rates effective July 1, 2025, with new 2025 HCPCS changes. Key updates include new payment rates for codes with status G/K indicators, correction of procedure codes 98000-98007 to payment type 'FS', implementation of new DRG grouper version, and introduction of a new Dietitian/Nutritionist fee schedule for Medical Nutrition Therapy.

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What to do

immediately · 5 steps
01Download the updated CMAP Addendum B V26.2 from www.ctdssmap.com Hospital Modernization page.
02Update billing system with new 2025 HCPCS codes and payment rates for status G/K indicators.
03Ensure procedure codes 98000-98007 are set to payment type 'FS' with CT Fee Schedule 'OFOUT'.
04Download new Dietitian/Nutritionist fee schedule for Medical Nutrition Therapy billing.
05Verify DRG grouper updated for claims with DOS 7/1/25 and after submitted on/after 7/29/25.

Codes mentioned

9800098001980029800398004980059800698007

Original notice

Hospital Monthly Important Message - 08.18.2025
ctdssmap.com · Always check the source before changing claims.
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