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Hospital Monthly Important Message - 09.13.2021 pdf

Connecticut Medicaid (HUSKY Health)·CT · Nephrology, Family Medicine, Internal Medicine·Provider Bulletin
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) has updated payment rates for procedure codes with status indicators G or K effective July 1, 2021, expanded Emergency Medicaid coverage for dialysis treatment for ESRD patients regardless of immigration status, and will reimburse third doses of COVID-19 vaccines for immunocompromised individuals effective August 12, 2021.

Action Required

Action needed
Immediately: Billing team should verify that claims for dates of service July 1, 2021 and forward with status indicators G or K are processing at correct payment rates. For dialysis providers: Begin billing Emergency Medicaid for ESRD treatment including hemodialysis and peritoneal dialysis with 12-month authorization periods. For vaccine providers: Submit claims for third dose COVID-19 vaccine administration for immunocompromised patients effective August 12, 2021, and continue using HRSA reimbursement for non-citizens not eligible for Medicaid.
Hospital Monthly Important Message - 09.13.2021 pdf | Connecticut Medicaid (HUSKY Health) | PolicyChanges.app