MedicaidReimbursementMedium impact
Provider Bulletin - January 2021 - Laboratory Fee Schedule pdf
Connecticut Medicaid (HUSKY Health)·CT · Oncology, OB-GYN·Reimbursement
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated their laboratory fee schedule effective January 1, 2021, converting manually priced lab codes to fixed rates at 70% of Medicare rates and adding coverage for myChoice CDx ovarian cancer test with prior authorization required.
Action Required
Immediately: Billing team must download updated Connecticut Medicaid laboratory fee schedule from www.ctdssmap.com and update billing system with new fixed reimbursement rates for the listed genetic testing codes. For myChoice CDx ovarian cancer testing, submit prior authorization before billing CPT 81599 or claims will deny. Verify current rates are 70% of Medicare for converted codes.