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MedicaidReimbursementMedium impact

Hospital Monthly Important Message - 08.11.2020 pdf

Connecticut Medicaid (HUSKY Health)·CT · Emergency Medicine, Critical Care·Provider Bulletin
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) updated payment rates for hospital procedure codes with status indicators G or K effective July 1, 2020, and implemented a 20% payment increase for COVID-19 inpatient cases discharged April 1-June 30, 2020. The system has been updated to process these changes automatically, with retroactive claim adjustments completed in special cycles.

Action Required

Action needed
Immediately: Verify that inpatient COVID-19 claims for discharges April 1-June 30, 2020 include ICD-10 diagnosis code U07.1 to receive the 20% payment increase. Billing team should review July 21, 2020 remittance advice for retroactive COVID-19 claim adjustments and verify authorization status on ctdssmap.com before submitting behavioral health inpatient claims.

Affected Billing Codes

U07.1
U0001
U0002
U0003
U0004
87635