MedicaidCoverageMedium impact
Coverage of Outpatient Dialysis Services under Emergency Medicaid for Non-Citizens pdf
Connecticut Medicaid (HUSKY Health)·CT · Nephrology, Internal Medicine·Provider Bulletin
Effective date
Aug 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Emergency Medicaid will now cover outpatient dialysis services and related treatments for non-citizens with end stage renal disease or kidney failure who don't qualify for full Medicaid. Eligible members receive special LB (limited benefit) HUSKY Health cards, and coverage is limited to dialysis-specific services and directly related complications.
Action Required
Immediately: Billing team must verify eligibility using the Automated Eligibility Verification System for members with LB (limited benefit) HUSKY Health cards. Ensure all claims include primary diagnosis codes for kidney failure/disease from Table 21 in the Fee Schedule Instructions. Access diagnosis code tables at ctdssmap.com under Provider > Fee Schedule Download. Submit claims electronically to Gainwell Technologies. Claims without proper kidney-related primary diagnosis codes will be denied.