MedicaidReimbursementMedium impact
Hospital Monthly Important Message - 10.08.2019 pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Oct 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has updated payment rates for LARC devices effective October 1, 2019, with Liletta increasing to $934.82 and Etonogestrel implant to $749.40. Multiple system updates are scheduled including new ICD-10 codes causing potential claim suspensions until November when the 3M Grouper is updated.
Action Required
Immediately: Update billing system with new Connecticut Medicaid rates for Liletta ($934.82) and Etonogestrel implant ($749.40) effective October 1, 2019. Expect potential claim suspensions for inpatient DRG claims with dates of service October 1, 2019 and forward until 3M Grouper update in November - no action needed as claims will auto-recycle. For delivery stays, ensure primary diagnosis codes are childbirth-specific rather than trimester codes to avoid prior authorization denials.