MedicaidBilling CodesMedium impact
April 2022 HIPAA Update - Changes to DME and MSS Fee Schedules pdf
Connecticut Medicaid (HUSKY Health)·CT · Endocrinology, Cardiology, Family Medicine +1 more·Provider Bulletin
Effective date
Apr 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has updated their DME and MSS fee schedules effective April 1, 2022, adding new HCPCS codes for continuous glucose monitors (A4238, E2102) and compression devices (K1030-K1033), while discontinuing three CGM-related codes (A9276, A9277, A9278) for Medicare beneficiaries. New CGM codes must be billed at the lesser of MSRP minus 15% or AAC plus 25%.
Action Required
Immediately: Billing team must update fee schedules to include new HCPCS codes A4238, E2102, K1030-K1033 for Connecticut Medicaid claims. Stop using codes A9276, A9277, A9278 for Medicare beneficiaries. Update billing system to calculate A4238 and E2102 at lesser of MSRP minus 15% or AAC plus 25%. Reference Provider Bulletin 2022-29 for CGM prior authorization requirements.