MedicaidAdministrativeMedium impact
Outpatient Crossover Claims – New Web Claim Submission Panel pdf
Connecticut Medicaid (HUSKY Health)·CT·Coding
Effective date
Oct 26, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires Medicare crossover claims to include Medicare payment data at the claim detail level instead of header level only. A new web submission panel is available as of October 26, 2022, and providers must modify their billing systems to avoid future claim denials.
Action Required
Immediately: Billing team must update systems to submit Medicare crossover claims with detail-level data using the new web panel at ctdssmap.com. Include Medicare payments, deductibles, coinsurance, and copay information at the line item level using appropriate claim adjustment reason codes (CARC 1 for deductible, CARC 2 for coinsurance, CARC 3 for copay). Test submissions now to avoid claim denials when final effective date is announced.