MedicaidAdministrativeHigh impact
Recent Recoupment of Claims
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Pediatrics, General Practice +2 more·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) recouped claims from August-September 2024 because performing providers on claims were not enrolled with CMAP or properly associated with billing clinics. This affects multiple clinic types including FQHCs, family planning, school-based health, and behavioral health clinics.
Action Required
Immediately: Verify all performing providers listed on CMAP claims are enrolled in Connecticut Medical Assistance Program and properly associated with your clinic in the system. Check recent claims from August-September 2024 for potential recoupments. For FQHCs billing nutritional services by registered dieticians/nutritionists, ensure an enrolled CMAP health professional is listed as the performing provider to avoid denials with EOB codes 0231, 1011, and 1010.