MedicaidReimbursementMedium impact
Corrected Bulletin - Rates for Rental Items Used with Continuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices, bi-level pressure (BiPAP) pdf
Connecticut Medicaid (HUSKY Health)·CT · Pulmonology, Sleep Medicine·Reimbursement
Effective date
Aug 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid corrected reimbursement rates for CPAP/BiPAP supply codes and now allows separate billing of PAP supplies during equipment rental periods. Key correction: E0562 rental rate is $13.28, not $24.32 as originally published.
Action Required
Immediately: Update billing system with corrected reimbursement rates for all listed PAP supply codes. Configure system to allow separate billing of PAP supplies during rental periods for Connecticut Medicaid patients. Set monthly limit of 1 per 3 months for A7027. Remove repair modifier (RB) for codes A7027, E0561, and E0562. Claims will automatically reprocess and appear on October 23, 2018 Remittance Advice.