MedicaidCoverageMedium impact
2024.25 - Provider Bulletin Coverage of Outpatient Human Donor Breast Milk PDF
Connecticut Medicaid (HUSKY Health)·CT · Pediatrics, OB-GYN, Family Medicine·Provider Bulletin
Effective date
Apr 1, 2024
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) now covers outpatient human donor breast milk for infants 0-12 months with specific medical conditions, requiring prior authorization and use of billing code T2101. Only HMBANA-accredited milk banks enrolled as medical suppliers can bill for this service.
Action Required
By April 1, 2024: Billing team must update system to recognize HCPCS code T2101 for human breast milk processing with prior authorization requirement for Connecticut Medicaid patients. Providers treating infants 0-12 months must use outpatient PA forms available at www.portal.ct.gov/husky and fax to CHNCT at (203) 265-3994. Only HMBANA-accredited milk banks enrolled as CMAP medical suppliers can bill for this service - claims will be denied for non-enrolled providers.