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CMAP COVID-19 Response - Increase in Inpatient Hospital pdf

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

Summary

Connecticut Medicaid will increase reimbursement by 20% for inpatient hospital stays with COVID-19 diagnosis (code U07.1) under APR-DRG methodology for discharges from April 1, 2020 through June 30, 2020. Claims already paid will be automatically reprocessed for the increased payment.

Action Required

Action needed
Hospital billing teams must ensure COVID-19 diagnosis code U07.1 is properly reported on all inpatient Medicaid claims for COVID-19 patients discharged between April 1, 2020 and June 30, 2020 to receive the 20% payment increase. Review previously submitted claims to verify U07.1 coding - DXC Technology will automatically reprocess eligible claims for additional payment.

Affected Billing Codes

U07.1