MedicaidReimbursementMedium impact
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 the rental rate for heated humidifiers (E0562) from $24.32 to $13.28 and updated reimbursement rates for CPAP/BiPAP supplies. The policy allows separate billing of PAP supplies during rental periods but reduces rates to ensure cost neutrality.
Action Required
Billing team must update fee schedules with new CPAP/BiPAP supply rates for Connecticut Medicaid claims. Update billing system to reflect corrected E0562 rental rate of $13.28 and new rates for all listed PAP supply codes. Note that A7027 has a quantity limit of 1 per 3 months and RB modifier is discontinued for A7027, E0561, and E0562. Previously submitted claims will automatically reprocess.