MedicaidReimbursementMedium impact
2023.13 Provider Bulletin - 2023 Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes pdf
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is reducing reimbursement rates for two specific laboratory codes effective January 1, 2023, to comply with federal law requiring Medicaid rates not exceed Medicare rates. Claims will be mass adjusted in the April 21, 2023 cycle.
Action Required
Immediately: Review April 25, 2023 Remittance Advice for mass adjusted claims with dates of service January 1, 2023 and forward for codes 81349 and 81560. Billing team should download updated laboratory fee schedule from www.ctdssmap.com and update billing system with new rates ($812.00 for 81349, $448.51 for 81560) for Connecticut Medicaid patients.