MedicaidBilling CodesHigh impact
Billing Guidance for Long-Acting Reversible Contraceptive Devices in the FQHC Setting pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires FQHCs to add modifier JG to all LARC device claims to identify 340B program purchases and prevent duplicate discounts. Claims for LARC devices submitted without modifier JG will be denied effective October 1, 2022.
Action Required
Immediately: Billing team must update all LARC device claims to include modifier JG (Drug or biological acquired with 340B drug pricing program discount) for codes J7296, J7297, J7298, J7300, J7301, and J7307. Update encounter forms to include both the LARC device code with JG modifier and appropriate insertion codes (11981, 11983, or 58300) plus T1015 for clinic visit. Resubmit any LARC claims from October 1, 2022 forward that were previously submitted without JG modifier. Claims without JG modifier will be denied.