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MedicaidReimbursementMedium impact

CMAP Lab Fee Schedule and CMAP Addendum B Update pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine·Reimbursement
Effective date
Jun 25, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medical Assistance Program (CMAP) is updating reimbursement rates for 5 COVID-19 related laboratory procedure codes from interim rates to 100% of Medicare rates, retroactive to their original effective dates. All previously submitted claims will be automatically reprocessed and adjusted accordingly.

Action Required

Action needed
No immediate action required: CMAP will automatically reprocess and adjust all previously submitted claims for codes 87426, 86408, 86409, 87636, and 87637. Billing team should monitor EOBs for automatic adjustments and updated reimbursement amounts for these COVID-19 lab services.

Affected Billing Codes

87426
86408
86409
87636
87637