MedicaidReimbursementMedium impact
2024.49 - Provider Bulletin - COVID-19 Laboratory Testing Updates to Independent Laboratory Fee Schedule
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, Pediatrics +1 more·Reimbursement
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) is reducing COVID-19 laboratory test reimbursement from 100% to 70% of Medicare rates and discontinuing coverage for specific COVID-19 PLA codes, requiring providers to use standard CPT codes instead. This affects all COVID-19 testing billing for Connecticut Medicaid patients.
Action Required
Immediately: Billing team must update fee schedules for COVID-19 lab tests to reflect new 70% Medicare rates. Stop billing PLA codes 0202U, 0223U, 0224U, 0225U, 0226U, 0240U, and 0241U for Connecticut Medicaid patients - replace with equivalent Category I CPT codes from 80000 series. Update billing software with new rates and code restrictions to prevent claim denials.