MedicaidReimbursementMedium impact
Hospital Monthly Important Message pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN·Provider Bulletin
Effective date
Oct 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) has completed reprocessing of outpatient claims affected by APC weight changes and updated payment rates for procedure codes with status indicators G and K effective October 1, 2018. The system has also been updated with APR-DRG V36 grouper as of November 13, 2018.
Action Required
Review November 14, 2018 Remittance Advice for reprocessed claims with ICN beginning with region code 50. Verify correct DRG coding for inpatient delivery stays using childbirth-specific diagnosis codes rather than trimester codes as primary diagnosis. For delivery stays, use appropriate delivery-specific codes to avoid prior authorization denials.