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Annual Dental Benefit Maximum (Updated 1/12/18) pdf
Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY A, C, D) has implemented a $1,000 annual dental benefit maximum for adults 21+ effective January 1, 2018. New system enhancements allow providers to check remaining benefits via web portal and batch eligibility, with claims processed first-come-first-served.
Action Required
Immediately: Dental providers must check patient eligibility and remaining dental benefits before treatment using the enhanced web portal at www.ctdssmap.com or HIPAA 270-271 batch eligibility. Use 'Claims history for specific services' with 'Dental Benefit Limit' inquiry type to verify remaining balance. Submit claims promptly as they are processed first-submitted-first-paid. When EOB code 6250 appears, bill patients directly for amounts exceeding the $1,000 annual maximum per Provider Bulletin 2017-81 requirements.