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2021.37 Provider Bulletin - Changes to Medical Surgical Supplies, DME & Orthotics - Prosthetics – Revised 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 is implementing new quantity limits for medical surgical supplies, DME, and orthotic/prosthetic devices effective July 1, 2021. Monthly quantity limits are being reduced for most procedure codes, with prior authorization required for quantities exceeding the new limits.
Action Required
By July 1, 2021: Billing team must update billing system with new monthly quantity limits for all affected MEDS procedure codes. Download updated fee schedules from www.ctdssmap.com and reference Table 19 for complete quantity limitations. For quantities exceeding limits, obtain prior authorization with medical necessity documentation before billing. Claims exceeding quantity limits without PA will be denied.