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MedicaidReimbursementMedium impact

2024.54 - Provider Bulletin - COVID-19 Lab Medical Clinic Fee Schedule & October 2024 Update – Medical Clinic Fee Schedule

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

Summary

Connecticut Medicaid reduced reimbursement for COVID-19 laboratory testing codes from 100% to 80% of Medicare rates, with new rates of $41.05 for codes 87635 and U0002, and $28.73 for code U0001. The policy also incorporates October 2024 HCPCS coding updates to maintain HIPAA compliance.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system for COVID-19 testing codes 87635, U0001, and U0002 with new Connecticut Medicaid rates ($41.05, $28.73, and $41.05 respectively). Download updated fee schedules from www.ctdssmap.com under Provider Fee Schedule Download section. Verify all October 2024 HCPCS coding changes are incorporated for HUSKY Health programs A, B, C, and D.

Affected Billing Codes

87635
U0001
U0002