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MedicaidReimbursementMedium impact

2024.05 - Provider Bulletin Updated Rates for Manually Priced Procedure Codes & Contraceptive Devices PDF

Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, Ophthalmology, Cardiology +2 more·Reimbursement
Effective date
Feb 1, 2024
We identified it
Jun 20, 2026
Days to comply

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.

Action Required

Action needed
Immediately: Billing 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. Download updated fee schedules from www.ctdssmap.com. Note that optometrists, APRNs, and physician assistants receive 90% of physician rates for these codes.

Affected Billing Codes

22860
66987
66988
93241
93243
93245
93247
J7307
2024.05 - Provider Bulletin Updated Rates for Manually Priced Procedure Codes & Contraceptive Devices PDF | Connecticut Medicaid (HUSKY Health) | PolicyChanges.app