MedicaidBilling CodesMedium impact
2018 Dental Fee Schedule HIPAA Compliance Update pdf
Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Reimbursement
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is updating its dental fee schedule effective January 1, 2018, by deleting 5 outdated CPT/CDT codes and adding 11 new, more specific dental procedure codes with updated reimbursement rates. The new code D1354 for Sodium Diamine Fluoride requires prior authorization for pediatric and special needs patients.
Action Required
By January 1, 2018: Billing team must update billing system to stop using deleted codes (15732, 31320, D5510, D5610, D5620) and implement new replacement codes with updated fee schedules. Add prior authorization requirement for code D1354 (Sodium Diamine Fluoride) for pediatric patients under 6 and special needs patients. Update encounter forms with new codes and fees for child vs adult reimbursement rates.