MedicaidBilling CodesMedium impact
2025.12 - Provider Bulletin - April 2025 Quarterly HIPAA Compliant Update – DME and Supplies Fee Schedules
Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, PM&R (Physical Medicine & Rehab)·Provider Bulletin
Effective date
Apr 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is updating DME, Orthotics & Prosthetics, and Medical Surgical Supplies fee schedules with April 2025 HCPCS code changes (additions, deletions, and description changes) to maintain HIPAA compliance. Providers must refer to updated fee schedules for current prior authorization requirements, quantity limitations, and reimbursement rates.
Action Required
By April 1, 2025: Billing team must download updated DME, O&P, and MSS fee schedules from www.ctdssmap.com (Provider > Provider Fee Schedule Download). Review Table 19 for quantity limitations on MEDS supplies. Update billing system with new HCPCS codes, prior authorization requirements, and reimbursement rates for HUSKY Health programs A, B, C, and D.