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Annual Dental Benefit Maximum 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 ages 21+ effective January 1, 2018. New system enhancements allow providers to check remaining balances through web portal and batch eligibility, with claims exceeding the limit showing EOB code 6250 and patient responsibility amounts.
Action Required
Immediately: Dental billing staff must begin checking patient dental benefit balances before treatment using the ctdssmap.com portal under 'Limit Information' panel or 'Claims history for specific services' with 'Dental Benefit Limit' inquiry type. Update billing workflows to inform patients of potential out-of-pocket costs when approaching the $1,000 annual limit. Monitor remittance advices for EOB code 6250 indicating benefit limit exceeded and ensure proper patient billing for amounts shown in 'Client Resp' field.