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Dental Mass Adjustment Delay Notification pdf

Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Provider Bulletin
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

A mass adjustment system failed to capture some dental claims with procedure codes subject to the $1,000 annual benefit maximum for adults when applying increased reimbursement rates. Affected claims from July-September 2022 are scheduled for mass adjustment in March 2023, but providers can use the web claim tool to receive payment sooner.

Action Required

Action needed
By March 2023: Review paid dental claims with dates of service July 2022-September 2022 that were subject to the $1,000 annual benefit maximum to identify underpaid claims. If faster payment is desired, billing team should use the web claim tool to manually adjust these prior period claims rather than waiting for the March 2023 mass adjustment cycle.