MedicaidReimbursementLow impact
Increase in Actual Acquisition Cost Percentage for Overhead Patient Lifts Codes E0639 and E0640 pdf
Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy·Provider Bulletin
Effective date
Nov 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid increased reimbursement for overhead patient lifts (E0639, E0640) by raising the actual acquisition cost markup from 15% to 40% for materials and slings. The pricing methodology now includes separate components for evaluation time, installation labor, freight, and slings with specific cost ranges.
Action Required
No immediate action required - this is a 2019 Connecticut Medicaid policy that increased reimbursement rates for overhead patient lifts. Verify current pricing methodology is being used if billing these codes to Connecticut Medicaid. Continue following existing prior authorization requirements using the Outpatient PA Request Form or medical PA Web portal.