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Bulletin - Changes to Medical Surgical Supplies - DME - Orthotic - Prosthetic Devices pdf
Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, PM&R (Physical Medicine & Rehab), Wound Care·Provider Bulletin
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has reduced monthly quantity limitations for multiple medical/surgical supplies, DME, and orthotic/prosthetic procedure codes, effective retroactively to July 1, 2021. The changes significantly decrease allowed quantities for many codes, such as A4310 dropping from 10 to 6 units per month and T-codes reducing from 250 to 220 units monthly.
Action Required
Immediately: Billing team must update Connecticut Medicaid quantity limits in billing system for all affected MEDS codes to reflect new monthly maximums (retroactive to July 1, 2021). Download updated fee schedules from www.ctdssmap.com and replace existing schedules. Review all Connecticut Medicaid claims for these codes since July 1, 2021 to identify potential overpayments that may need to be refunded. Notify providers of new quantity restrictions to prevent future denials.