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DSS Important Message - Hospital Monthly Important Message pdf

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

Summary

Connecticut Medicaid is implementing CMAP Addendum B October 2022 updates with new status indicator H for non-payable procedures, and updating ICD-10 codes which may cause inpatient DRG claims to suspend until the new 3M Grouper is loaded. New COVID vaccine CPT codes have been added and previously denied claims need resubmission.

Action Required

Action needed
Immediately: Monitor for new status indicator H on CMAP Addendum B indicating non-payable procedures. Resubmit any previously denied claims using new COVID vaccine CPT codes 91313, 91312, 0124A, 0134A, 91314, 91315, 0154A, and 0144A. Watch for suspended inpatient DRG claims with EOB codes 0693 or 0920 - these will auto-reprocess once new 3M Grouper loads. Billing team should check www.ctdssmap.com for updated CMAP Addendum B posting.

Affected Billing Codes

91313
91312
91314
91315
87593