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2024.05 - Provider Bulletin Updated Rates for Manually Priced Procedure Codes & Contraceptive Devices PDF
Act
immediately
Effective date
Feb 1, 2024
Identified
Jun 20, 2026
Summary
Connecticut Medicaid updated reimbursement rates for 7 procedure codes (including spinal fusion and eye surgeries) to 57.5% of 2024 Medicare rates, and increased payment for contraceptive implant J7307 to $1,156.28 for physician offices, effective February 1, 2024.
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What to do
immediately · 3 steps
01Billing team must update fee schedules in billing system for Connecticut Medicaid claims to reflect new reimbursement rates for codes 22860, 66987, 66988, 93241, 93243, 93245, 93247, and J7307 effective February 1, 2024.
02Download updated fee schedules from www.ctdssmap.com.
03Note that optometrists, APRNs, and physician assistants receive 90% of physician rates for these codes.
Codes mentioned
22860669876698893241932439324593247J7307
Original notice
2024.05 - Provider Bulletin Updated Rates for Manually Priced Procedure Codes & Contraceptive Devices PDF
ctdssmap.com · Always check the source before changing claims.
Related changes
See all Connecticut Medicaid (HUSKY Health) changes →2025.68 - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive DevicesMediumEffective Jan 1, 2026 · Reimbursement2024.82 - Provider Bulletin - Updates to the Reimbursement Rate for Select Long-Acting Reversible Contraceptive DeviceMediumEffective Jan 2, 2025 · Reimbursement2024.83 - Provider Bulletin - Changes for Billing Long-Acting Reversible Contraceptive Devices in the Medical FQHC SettingHighEffective Jan 1, 2025 · Provider BulletinBrowse every Connecticut Medicaid (HUSKY Health) change in the policy list