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2024.82 - Provider Bulletin - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive Device
Act
by Jan 2, 2025
Effective date
Jan 2, 2025
Identified
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) is updating the reimbursement rate for etonogestrel contraceptive implants (J7307) to $1,214.63 for physician offices and outpatient settings. Different reimbursement rules apply for FQHCs and hospitals based on their specific fee schedules.
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What to do
by Jan 2, 2025 · 2 steps
01Billing team must update fee schedules in billing system to reflect new reimbursement rate of $1,214.63 for HCPCS code J7307 (etonogestrel contraceptive implant) for Connecticut Medicaid patients.
02FQHCs should verify they are using family planning clinic fee schedule rates, and hospitals should confirm they are following CMAP Addendum B guidelines for payment determination.
Codes mentioned
J7307
Original notice
2024.82 - Provider Bulletin - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive Device
ctdssmap.com · Always check the source before changing claims.
Related changes
See all Connecticut Medicaid (HUSKY Health) changes →2024.05 - Provider Bulletin Updated Rates for Manually Priced Procedure Codes & Contraceptive Devices PDFMediumEffective Feb 1, 2024 · Reimbursement2025.68 - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive DevicesMediumEffective Jan 1, 2026 · Reimbursement2024.83 - Provider Bulletin - Changes for Billing Long-Acting Reversible Contraceptive Devices in the Medical FQHC SettingHighEffective Jan 1, 2025 · Provider BulletinBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list