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DSS Important Message - Hospital Monthly Important Message - 04.11.2023 pdf

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Apr 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) updated their fee schedules and policies with multiple changes including HCPCS code updates effective April 1, 2023, revised lab testing rates retroactive to January 1, 2023, new telehealth guidance effective May 12, 2023, and expanded Hepatitis C medication coverage allowing 28-day supplies instead of 14-day supplies effective April 5, 2023.

Action Required

Action needed
Immediately: Billing team must verify updated CMAP Addendum B V23.0 fee schedules are loaded in billing system for dates of service April 1, 2023 and forward. Update Hepatitis C medication prior authorization requests to allow 28-day supplies instead of 14-day supplies effective April 5, 2023. Prepare for telehealth billing changes effective May 12, 2023 by reviewing new guidance for audio-visual and audio-only services. Verify lab testing rates were updated retroactively to January 1, 2023. Failure to use current fee schedules may result in incorrect reimbursement.