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DSS Important Message - Hospital Monthly Important Message - 12.19.2023 PDF

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) updated coding requirements with 2023 HCPCS changes effective October 1, 2023, and will implement new APR-DRG weights and rates effective January 1, 2024. Hospital providers must use updated coding systems and will receive new outpatient payment parameters in December 2023.

Action Required

Action needed
By January 1, 2024: Billing teams must download and implement CMAP Addendum B V24.2 from www.ctdssmap.com for updated HCPCS codes and payment rates. Update billing systems with new APR-DRG weights and outlier thresholds. Review December 2023 OPPS rate letters when received and update outpatient payment parameters. Failure to update will result in incorrect reimbursement and potential claim denials.