MedicaidReimbursementMedium impact
2018 HIPAA Compliant Changes on Independent Laboratory Fee Schedule pdf
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is updating their Independent Laboratory Fee Schedule effective January 1, 2018, incorporating 2017 CPT/HCPCS changes for HIPAA compliance. Key changes include pricing 79 procedure codes at 70% of Medicare rates and adjusting rates for two cystic fibrosis genetic testing codes.
Action Required
By January 1, 2018: Billing team must download the updated Connecticut Medicaid Independent Laboratory fee schedule from www.ctdssmap.com and update billing system with new rates for CPT codes 81223, 81220, 86910, and 86911. Update system to reflect that 79 previously manually-priced lab codes are now priced at 70% of Medicare rates for HUSKY Health programs (HUSKY A, B, C, D).