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MedicaidBilling CodesMedium impact

Hospital Monthly Important Message Updated as of 06/13/2018 pdf

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) updated hospital billing requirements including new 340B drug modifiers JG and TB that must be used on outpatient claims starting January 1, 2018, and announced reprocessing of various claims with payment adjustments scheduled for mid-July 2018.

Action Required

Action needed
Immediately: Hospital billing teams must add modifiers JG or TB to all applicable 340B-acquired drugs on outpatient claims (bill type 13X). Update billing system to include these modifiers for 340B drug pricing program discounts. Review CMAP Addendum B updates on ctdssmap.com for current procedure codes and payment rates. Monitor for claim reprocessing adjustments scheduled for mid-July 2018.