MedicaidAdministrativeMedium impact
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 Medicaid (CMAP) updated their hospital billing system with 2022 HCPCS code changes, increased outlier threshold from $5,075 to $5,300, and migrated email communications to Gainwell Technologies. Several hospitals have upcoming re-enrollment deadlines that must be met to avoid dis-enrollment.
Action Required
Hospitals must: 1) Update billing systems with 2022 HCPCS code changes when system updates are completed (separate notification coming), 2) Apply new outlier threshold of $5,300 for dates of service January 1, 2022 forward, 3) Update email contacts to use @gainwelltechnologies.com addresses, 4) Complete re-enrollment applications by specified due dates to avoid dis-enrollment and claims processing disruption.