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MedicaidReimbursementMedium impact

July 2019 Update to MEDS Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), General Practice·Reimbursement
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid updated their Medical Equipment, Devices and Supplies (MEDS) fee schedule effective July 1, 2019, adding three new procedure codes with manual pricing and revising reimbursement rates for electric patient lifts. All affected codes now use manual pricing based on actual acquisition cost plus percentage markups or list price minus 15%.

Action Required

Action needed
Immediately: Billing team must update Connecticut Medicaid claims processing for codes A4459, A9274, A9283, and E0635 to use manual pricing methodology per DSS Pricing Policy for MEDS Items. Download updated fee schedules from www.ctdssmap.com and ensure claims use actual acquisition cost plus specified markup percentages or list price minus 15%, whichever is less.

Affected Billing Codes

A4459
A9274
A9283
E0635