MedicaidReimbursementMedium impact
2020 Update to MEDS Fee Schedule - HIPAA Compliant Codes pdf
Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, PM&R (Physical Medicine & Rehab), Endocrinology·Reimbursement
Effective date
Mar 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is adding 5 new HCPCS/CPT codes to the MEDS fee schedule effective March 1, 2020, and changing the payment methodology for all repair services to use either MSRP minus 15% or Actual Acquisition Cost plus category-specific percentages.
Action Required
By March 1, 2020: Billing team must update fee schedules to include new codes E2398, K0553, K0554, L2006, and L8033 with manual pricing methodology. Update repair billing procedures to use lesser of MSRP minus 15% or AAC plus percentage (25% for medical/surgical supplies and parenteral/enteral, 50% for orthotic/prosthetic, 35% for DME). Download updated fee schedules from www.ctdssmap.com under Provider Fee Schedule Download section.