MedicaidReimbursementMedium impact
2021 Rate Revision for Lab Testing Codes pdf
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has reduced reimbursement rates for 7 laboratory testing codes, effective retroactively from January 1, 2021. The rate cuts range from significant reductions (e.g., CPT 81316 from $230.35 to $145.12) to comply with federal law requiring Medicaid rates not exceed Medicare rates.
Action Required
Immediately: Billing team must update fee schedules in billing system for the 7 affected laboratory codes to reflect new Connecticut Medicaid rates. Download updated lab fee schedule from www.ctdssmap.com (Provider > Provider Fee Schedule Download > Lab). Note that claims from January 1, 2021 forward will be automatically reprocessed at new rates in the March 26, 2021 claim cycle.