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MedicaidReimbursementMedium impact

Hospital Monthly Important Message

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has updated CMAP Addendum B with new APC payment rates effective July 1, 2016, and increased Medically Unlikely Edit (MUE) unit limits for multiple procedure codes. The state will reprocess affected claims in November 2016.

Action Required

Action needed
Review claims with the listed procedure codes that were denied for MUE units exceeded since July 1, 2016. Monitor for automatic reprocessing in November 2016 cycle. Download updated CMAP Addendum B from www.ctdssmap.com and review changes document for any procedures your facility bills.

Affected Billing Codes

96361
P9040
G0277
59025
96375
J9179
77300
G0260
J9042
P9047
J9307
P9033
86666
C9132
J1610
86747
86160
86235