Who is affected by this change?

This affects Connecticut Medicaid (HUSKY Health) OB-GYN, Family Medicine providers in CT on Medicaid plans.

When does this change take effect?

This change is effective Oct 1, 2021.

Which billing codes are affected?

The following codes are affected: J7303, J7294, J7295.

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MedicaidBilling CodesMedium impact

Family Planning Clinic Fee Schedule - October 2021 Quarterly HIPAA Compliant Update pdf

Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Reimbursement

Effective date

Oct 1, 2021

We identified it

Jun 20, 2026

Days to comply

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Summary

Connecticut Medicaid is discontinuing procedure code J7303 and replacing it with two new contraceptive device codes J7294 and J7295 for family planning services. The new codes will be reimbursed at 100% of 340-B pricing plus a $10.75 dispensing fee.

Action Required

Action needed

By October 1, 2021: Family planning clinics must stop billing discontinued code J7303 and begin using J7294 for yearly vaginal contraceptive systems and J7295 for monthly vaginal rings. Update billing system with new codes and reimbursement rates (100% of 340-B pricing plus $10.75 dispensing fee). Download updated fee schedule from www.ctdssmap.com.

Affected Billing Codes

J7303

J7294

J7295

Related policy hubs

Connecticut Medicaid (HUSKY Health) policies CT policy changes OB-GYN Family Medicine Code J7303 Code J7294 Code J7295