MedicaidReimbursementMedium impact
Update to MEDS Fee Schedule and Reduced Rates for Orthotic Braces pdf
Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, PM&R (Physical Medicine & Rehab)·Reimbursement
Effective date
Feb 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is adding three new HCPCS codes for intraurethral drainage devices to the DME fee schedule and reducing reimbursement rates for seven orthotic brace codes by $2-14 per code to match Medicare competitive bidding rates.
Action Required
By February 1, 2021: Billing team must update fee schedules in billing system with new reimbursement rates for orthotic brace codes L0450 ($124.23), L0621 ($65.50), L0625 ($36.64), L0628 ($55.79), L0641 ($51.84), L0643 ($107.71), and L0649 ($190.72) for Connecticut Medicaid claims. Add new HCPCS codes K1010, K1011, and K1012 for intraurethral drainage devices. Download updated fee schedules from www.ctdssmap.com.