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Connecticut Medicaid (HUSKY Health)Medicaid · Billing Codes · Provider Bulletin · CT · OB-GYN, Family MedicineHigh impact

2024.83 - Provider Bulletin - Changes for Billing Long-Acting Reversible Contraceptive Devices in the Medical FQHC Setting

Effective date
Jan 1, 2025
Identified
Jun 20, 2026

Summary

Starting January 1, 2025, all 340B covered FQHCs must replace modifier JG with modifier TB when billing for Long-Acting Reversible Contraceptive (LARC) devices. Claims using the old JG modifier after December 31, 2024 will be denied.

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What to do

Action · 2 steps
01Before January 1, 2025: Billing team must update billing system to use modifier TB instead of modifier JG for all LARC device codes (J7296, J7297, J7298, J7300, J7301, J7307) for 340B covered entities.
02Update encounter forms and billing software rules to prevent use of JG modifier.
If missed: Failure to switch modifiers will result in claim denials with EOB codes 0251-0253 and 4545.

Codes mentioned

T1015J7296J7297J7298J7300J7301J7307119811198358300

Original notice

2024.83 - Provider Bulletin - Changes for Billing Long-Acting Reversible Contraceptive Devices in the Medical FQHC Setting
ctdssmap.com · Always check the source before changing claims.
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Related changes

See all Connecticut Medicaid (HUSKY Health) changes →
2024.27 - Provider Bulletin Updates to the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices PDFMediumEffective May 1, 2024 · Reimbursement2026.18 - Updates to the Reimbursement Rates for Select Long-Acting Reversible Contraceptive DevicesMediumEffective Apr 1, 2026 · Reimbursement2025.68 - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive DevicesMediumEffective Jan 1, 2026 · Reimbursement2026.44 - Provider Bulletin - Maternity Care Service Billing Guidance: Antepartum CareHighEffective Sep 1, 2026 · Provider BulletinBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesOB-GYNFamily MedicineCode T1015Code J7296Code J7297Code J7298Code J7300Code J7301Code J7307Code 11981Code 11983Code 58300

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