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Special Services - Birth to Three Years - HIPAA Compliant Update pdf

Connecticut Medicaid (HUSKY Health)·CT · Pediatrics·Provider Bulletin
Effective date
Mar 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is discontinuing old hearing aid codes V5180 and V5220, replacing them with new codes V5181 and V5221 (both reimbursed at $800) for Birth to Three providers. Prior authorization is available when acquisition costs exceed the fee amounts.

Action Required

Action needed
By March 1, 2019: Birth to Three hearing aid providers must stop billing discontinued codes V5180 and V5220. Update billing system to use replacement codes V5181 and V5221 (both at $800 reimbursement). Submit prior authorization requests when actual acquisition costs exceed $800. Download updated fee schedule from www.ctdssmap.com.

Affected Billing Codes

V5180
V5220
V5181
V5221
Special Services - Birth to Three Years - HIPAA Compliant Update pdf | Connecticut Medicaid (HUSKY Health) | PolicyChanges.app