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MedicaidReimbursementMedium impact

2024.55 - Provider Bulletin - COVID-19 Lab Testing Updates to the Family Planning & Addition of Code to the Family Planning Fee Schedule

Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Reimbursement
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is reducing reimbursement for COVID-19 testing codes from 100% to 95% of Medicare rates and adding a new cervical conization procedure code (57522) to the family planning clinic fee schedule, both effective October 1, 2024.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system for Connecticut Medicaid to reflect new rates for COVID-19 testing codes 87635 ($48.74), 87636 ($135.50), U0001 ($34.11), U0002 ($48.74), and add new code 57522 ($265.68) for cervical conization. Download updated fee schedules from www.ctdssmap.com under Provider Fee Schedule Download section.

Affected Billing Codes

87635
87636
U0001
U0002
57522