MedicaidReimbursementMedium impact
2022 Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes pdf
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is reducing reimbursement rates for certain laboratory testing codes to comply with federal law requiring Medicaid payments not exceed Medicare rates. The rate for SARS-CoV-2 testing (CPT 87428) drops from $63.59 to $30.94, effective retroactively to January 1, 2022.
Action Required
Immediately: Billing team must verify updated laboratory fee schedule rates for Connecticut Medicaid claims. Download the current lab fee schedule from www.ctdssmap.com under 'Provider Fee Schedule Download'. Claims with dates of service January 1, 2022 and forward will be automatically reprocessed at the lower rates. Monitor March 23, 2022 Remittance Advice for reprocessed claims showing reduced reimbursement.