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MedicaidReimbursementLow impact

April 2022 HIPAA Update - Physician and Outpatient Fee Schedule and Contraceptive Devices pdf

Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine, Internal Medicine·Reimbursement
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) updated their physician office and outpatient fee schedule with quarterly HCPCS code changes for HIPAA compliance and increased reimbursement rates for three long-acting reversible contraceptive devices (Kyleena, Mirena, and Skyla) by approximately $50 each, effective April 1, 2022.

Action Required

Action needed
By April 1, 2022: Billing team must update fee schedules in billing system to reflect new reimbursement rates for contraceptive devices J7296 ($1049.24), J7298 ($1049.24), and J7301 ($873.67) for Connecticut Medicaid patients. Download updated fee schedule from www.ctdssmap.com and verify HCPCS code updates are current in system.

Affected Billing Codes

J7296
J7298
J7301