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MedicaidReimbursementMedium impact

Hospital Monthly Important Message - 03.11.2020 pdf

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

Summary

Connecticut Medicaid (CMAP) updated procedure codes and payment rates effective January 1, 2020, with increased reimbursement for contraceptive devices effective March 1, 2020. Hospital outpatient flat fee rates were also updated with new schedules available for download.

Action Required

Action needed
Billing team must download updated Hospital Outpatient Flat Fee schedule from www.ctdssmap.com and update billing system with new rates for procedure codes 78431-78433 (now paid per physician radiology fee schedule) and codes J1729, J7340, J8610, Q2009 (updated payment rates). Update reimbursement rates for contraceptive devices J7297 and J7300 effective March 1, 2020. Review February 25, 2020 remittance advice for any mass adjustments with EOB code 8182.

Affected Billing Codes

78431
78432
78433
J1729
J7340
J8610
Q2009
J7297
J7300