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MedicaidBilling CodesMedium impact

2025.72 - January 2026 Quarterly HIPAA Compliant Update-Medical Equipment Devices & Supplies Fee Schedules

Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Orthopedics, Wound Care·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health A, B, C, D) updated their HCPCS codes for Durable Medical Equipment (DME) and Medical Surgical Supplies (MSS) fee schedules effective January 1, 2026. The update adds new codes, deletes obsolete ones, and modifies code descriptions to maintain HIPAA compliance, with providers needing to reference updated quantity limitations in Table 19.

Action Required

Action needed
By January 1, 2026: Billing team must download the updated DME and MSS fee schedules from www.ctdssmap.com (Provider > Provider Fee Schedule Download). Review Table 19 for quantity limitations on DME, O&P, and MSS supplies. Update billing system with new HCPCS codes, deletions, and description changes. Verify prior authorization requirements and reimbursement rates for affected procedures before submitting claims.