MedicaidReimbursementHigh impact
Corrected and Revised - Reductions and Adjustments to Payment for Durable Medical Equipment (DME) to Remain Compliant with Federal Law and Additional Reimbursement Reductions to Medical Equipment, Devices and Supplies (MEDS) pdf
Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +2 more·Reimbursement
Effective date
Apr 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is reducing reimbursement rates for Durable Medical Equipment (DME) and Medical Equipment, Devices and Supplies (MEDS) to comply with federal law requiring rates not exceed Medicare Part B amounts. Rates are being set to 100% of the lowest applicable Medicare fee, including competitive bid pricing, representing significant payment reductions for most codes.
Action Required
By April 1, 2018: Billing team must update fee schedules in billing system to reflect new reduced Medicaid reimbursement rates for all DME and MEDS procedure codes. Download updated fee schedules from www.ctdssmap.com and implement new oxygen flow rate modifiers (QA, QB, QE, QF, QG, QR). Update billing software with revised rates to ensure accurate claim submissions and financial projections.