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2023.79 Provider Bulletin - January 2024 Quarterly Updates - Dental Fee Schedules for Adult and Children PDF

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

Summary

Connecticut Medicaid added two new dental CDT codes (D7284 for salivary gland biopsy and D2991 for hydroxyapatite application) with specific billing restrictions and prior authorization requirements effective January 1, 2024. Code D2991 has surface-based pricing and is limited to once per tooth per year.

Action Required

Action needed
Immediately: Dental billing team must add CDT codes D7284 and D2991 to billing system with proper surface counting for D2991. Update system to enforce once-per-tooth-per-year limit for D2991 and require prior authorization for additional applications. Configure surface-based pricing: 1 surface ($70), 2 surfaces ($80), 3 surfaces ($90), 4 surfaces ($125). Train staff on electronic prior authorization submission through BeneCare/CTDHP portal at www.ctdhp.org. Note: D2991 will initially pay at single surface rate with mass adjustment following later.

Affected Billing Codes

D7284
D2991