MedicaidReimbursementMedium impact
Reimbursement Long Acting Contraceptive Devices pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Mar 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) increased reimbursement rates for five long-acting reversible contraceptive (LARC) devices, with rate increases ranging from $38 to $58 per device. The billing team should update their fee schedules to reflect these higher reimbursement amounts for improved revenue capture.
Action Required
Immediately: Billing team must download updated fee schedules from www.ctdssmap.com and update billing system with new reimbursement rates for LARC device codes J7296 ($999.28), J7297 ($845.10), J7298 ($999.28), J7301 ($832.07), and J7307 ($981.56). Hospital billing staff should reference CMAP Addendum B for outpatient hospital procedures and use appropriate fee schedule based on facility type.