MedicaidReimbursementMedium impact
Reimbursement for MEDS and DME for Outpatient and Chronic Disease Hospitals pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Sep 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is expanding reimbursement for specific MEDS/DME procedure codes to outpatient hospitals and chronic disease hospitals. These codes will now be reimbursed based on the MEDS/DME fee schedule rather than standard hospital rates, and MEDS/DME vendors cannot bill for items provided in ER or outpatient hospital settings.
Action Required
Immediately: Billing team must verify that Connecticut Medicaid patients receiving DME/MEDS items with the listed procedure codes are billed according to the MEDS/DME fee schedule rates. Update billing software to reflect new reimbursement methodology for these codes. Ensure MEDS/DME vendors are not billing separately for items provided during ER or outpatient hospital visits for CMAP members.