MedicaidBilling CodesHigh impact
Hospital Monthly Important Message
Connecticut Medicaid (HUSKY Health)·CT · Radiology, Physical Therapy, Occupational Therapy +1 more·Provider Bulletin
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) updated multiple billing requirements effective January 1, 2017, including new JW modifier requirements for discarded drugs, updated mammography and therapy evaluation CPT codes, increased outlier threshold to $3,825, and coverage for Kyleena IUD at $858.33 reimbursement.
Action Required
Immediately: Update billing system to require JW modifier for discarded single-use drugs/biologicals on separate line items. Update mammography and PT/OT evaluation codes per 2017 CPT changes. Add Kyleena IUD billing with HCPCS C9399 and NDC code for $858.33 reimbursement. Update outlier threshold calculations to $3,825. Train billing staff on new status indicators E1 and E2 replacing former E indicator.