MedicaidReimbursementMedium impact
2024.04 - Provider Bulletin Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes PDF
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is reducing reimbursement for CPT code 81418 (pharmacogenomic testing panel) to 70% of Medicare rates, effective retroactively to January 1, 2024. This change affects all HUSKY Health Programs to comply with federal Medicaid law.
Action Required
Immediately: Billing team must update fee schedules for CPT 81418 to reflect new rate of 70% of Medicare (down from $641.96). Download updated fee schedule from www.ctdssmap.com Provider section. Reprocess any claims for dates of service January 1, 2024 forward that were paid at old rate. Contact Provider Assistance Center at 1-800-842-8440 for billing questions.