MedicaidPrior AuthMedium impact
January 2023 HIPAA Compliant Changes to the Laboratory Fee Schedule pdf
Connecticut Medicaid (HUSKY Health)·CT · Oncology, OB-GYN·Reimbursement
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has updated their laboratory fee schedule to incorporate January 2023 CPT/HCPCS changes for HIPAA compliance and added two new oncology procedure codes 81500 and 81503 for ovarian cancer testing. Both new codes require prior authorization effective January 1, 2023.
Action Required
Immediately: Billing team must update systems to require prior authorization for CPT codes 81500 (Onco ovar two proteins) and 81503 (Onco ovar five proteins) for all Connecticut HUSKY Health members. Contact CHNCT at 1-800-440-5071 for PA approval before performing these tests. Download updated laboratory fee schedule from www.ctdssmap.com. Claims will be denied without prior authorization.