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MedicaidReimbursementMedium impact

January 2022 Quarterly HIPAA Compliant Update – Consolidated Laboratory Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medical Assistance Program (CMAP) updated their Consolidated Laboratory Fee Schedule effective January 1, 2022, incorporating new HCPCS codes and changes to maintain HIPAA compliance. Laboratory reimbursement rates are set at 70% of Medicare rates and apply to all HUSKY Health programs (A, B, C, and D).

Action Required

Action needed
By January 1, 2022: Billing team must download the updated Consolidated Laboratory Fee Schedule from www.ctdssmap.com (Provider > Provider Fee Schedule Download > Lab) to ensure correct reimbursement rates for Connecticut Medicaid laboratory services. Outpatient hospitals must continue following CMAP Addendum B for all outpatient services.