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MedicaidBilling CodesMedium impact

Hospital Monthly Important Message - 06.09.2020 pdf

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

Summary

Connecticut Medicaid (CMAP) has updated procedure codes and payment rates effective April 1, 2020, with specific COVID-19 testing codes (87635, U0001, U0002) backdated to March 13, 2020. Claims processed with incorrect rates between April 1-21 were automatically adjusted and appeared on May 27, 2020 remittance advice with ICN beginning with 55.

Action Required

Action needed
Review May 27, 2020 remittance advice for automatic adjustments to claims with ICN starting with 55. For any remaining claims with COVID-19 testing codes 87635, U0001, U0002 that were denied prior to April 29, 2020, resubmit for processing. Verify inpatient behavioral health authorizations on www.ctdssmap.com before submitting claims.

Affected Billing Codes

87635
U0001
U0002
97542
98967
98968