MedicaidAdministrativeMedium impact
Hospital Monthly Important Message - 12.11.2018 pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Dec 21, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) issued updates on claim reprocessing schedules, coding system updates, and billing corrections. Key items include delayed HCPCS updates for January 2019, DRG grouper updates effective October 1, 2018, and various outpatient therapy billing corrections.
Action Required
By December 21, 2018: Monitor for reprocessed outpatient and crossover claims with CMAP Addendum B procedure codes that were previously processed incorrectly. Billing team should watch for updated claim statuses and payments. For inpatient claims with discharge dates October 1, 2018 and forward, verify DRG weights and outlier amounts are correct - incorrect claims will be reprocessed in future cycles TBD.