MedicaidBilling CodesMedium impact
Updated MEDS Fee Schedule Changes
Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Pain Management, Pulmonology +1 more·Reimbursement
Effective date
Mar 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated their Medical Equipment Devices and Supplies (MEDS) fee schedule with key changes: code A4595 is removed and replaced with A4556/A4557, new quantity limitations added for multiple supply codes including A6530, and stricter billing rules for supplies with rentals.
Action Required
Before March 1, 2016: Billing team must stop using code A4595 for TENS unit supplies and switch to A4556 (electrodes) and A4557 (lead wires). Update billing system with new quantity limits: A6530-A6545 limited to 4 per 6 months, breast pumps E0602/E0603 limited to 1 per 2 years, and various CPAP/BiPAP supplies with monthly/quarterly limits. Ensure 'From' and 'To' dates are entered for supply billing to avoid MUE denials. Exception: dual eligible members are exempt from A4595 restrictions.