MedicaidCoverageMedium impact
Billing Lab Fees for Medicaid Members in Residential Substance Use Disorder Treatment Facilities pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Nov 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid will now reimburse laboratory services for members in residential substance use treatment facilities, effective November 1, 2021. Claims must include the SE modifier (State/Fed Funded Programs/Services) for reimbursement.
Action Required
For Connecticut providers: Billing team must update system to add SE modifier to all laboratory claims for Medicaid members receiving treatment in residential substance use treatment facilities. Update billing software rules to automatically append SE modifier for this patient population. Access current laboratory fee schedule from www.ctdssmap.com under Provider Fee Schedule Download.