MedicaidReimbursementHigh impact
DSS Important Message - Hospital Monthly Important Message pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut DSS has updated their CMAP hospital billing system with 2022 HCPCS code changes, increased outlier thresholds from $5,075 to $5,300, and updated DRG weights/payment rates effective January 1, 2022. The system will reprocess claims with new/changed procedure codes after February 9, 2022.
Action Required
Connecticut hospitals must: 1) Download updated CMAP Addendum B V23.0 from www.ctdssmap.com when available, 2) Update billing systems with new outlier threshold of $5,300 for dates of service January 1, 2022 and forward, 3) Use updated DRG Calculator for discharge dates January 1, 2022 and forward, 4) Monitor for claim reprocessing notifications after February 9, 2022 for new/changed procedure codes, 5) Complete re-enrollment applications before due dates to avoid dis-enrollment and claims processing disruptions.