Who is affected by this change?

This affects Connecticut Medicaid (HUSKY Health) Pediatrics providers in CT on Medicaid plans.

When does this change take effect?

This change is effective Jul 1, 2021.

Which billing codes are affected?

The following codes are affected: S9123, S9124.

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MedicaidReimbursementLow impact

Updated Reimbursement Rate for Nsg Svs for HH Pedi High Tech LOC

Connecticut Medicaid (HUSKY Health)·CT · Pediatrics·Reimbursement

Effective date

Jul 1, 2021

We identified it

Jun 20, 2026

Days to comply

—

Summary

Connecticut Medicaid retroactively increased reimbursement rates by 30% for pediatric complex/high tech skilled nursing visits for the period July 1-31, 2021. Claims will be automatically adjusted on June 22, 2022 remittance advice.

Action Required

Action needed

No action required - claims will be automatically adjusted by Gainwell Technologies. Review June 22, 2022 remittance advice for retroactive payment adjustments. Continue billing usual and customary charges for future rate changes.

Affected Billing Codes

S9123

S9124

Related policy hubs

Connecticut Medicaid (HUSKY Health) policies CT policy changes Pediatrics Code S9123 Code S9124