MedicaidCoverageMedium impact
Hospital Monthly Important Message - 08.15.2018 pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Emergency Medicine, Psychiatry·Provider Bulletin
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has updated payment rates for hospital procedure codes with status indicators G or K effective July 1, 2018, discontinued coverage for non-surgical birth control device CPT 58565, and removed prior authorization requirements for behavioral health services in emergency departments.
Action Required
Immediately: Stop billing CPT 58565 (hysteroscopy sterilization) for Connecticut Medicaid dates of service July 1, 2018 and forward as it is no longer covered. Remove prior authorization requirements for behavioral health services billed with Place of Service 23 (Emergency Department) for dates of service July 1, 2018 and forward. Verify payment rates for procedure codes with status indicators G or K have been updated in billing system. Contact Beacon Health Options daily regarding behavioral health patients awaiting placement.