MedicaidReimbursementMedium impact
Add-on Rate for Ventilation Bed Stays for Chronic Disease Hospitals pdf
Connecticut Medicaid (HUSKY Health)·CT · Critical Care, Pulmonology·Reimbursement
Effective date
Oct 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is providing a $500 add-on payment for ventilation bed stays at Chronic Disease Hospitals through the end of the federal public health emergency. Claims must use diagnosis code Z99.11 as the primary diagnosis to receive this additional reimbursement.
Action Required
By March 31, 2022: Billing team must resubmit all eligible chronic disease hospital ventilation bed claims with dates of service from October 1, 2021 forward. Use Revenue Center Code 100 and place diagnosis code Z99.11 as the primary/header diagnosis for ventilation bed days only. For patients moving in/out of ventilation beds during stay, submit separate claims for ventilation and non-ventilation days. Failure to use Z99.11 as primary diagnosis will result in standard rate payment only.