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MedicaidBilling CodesMedium impact

Changes to the Family Planning Clinic Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Reimbursement
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is replacing CPT code 99201 with 99202 for outpatient visits and updating reimbursement for contraceptive vaginal rings (J7303) to $610.75 for Annovera. These changes take effect January 1, 2021 for family planning clinics.

Action Required

Action needed
By January 1, 2021: Billing team must stop using CPT 99201 and bill CPT 99202 for office visits instead. Update billing system to use J7303 with appropriate NDC for Annovera contraceptive rings. Update fee schedules from www.ctdssmap.com and verify reimbursement rate of $610.75 for Annovera.

Affected Billing Codes

99201
99202
J7303