MedicaidAdministrativeHigh impact
interChange Provider Important Message
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut DSS is implementing major changes for hospitals including transitioning to APC payment methodology on July 1, 2016, requiring hospitals to enroll practitioner groups for outpatient professional services billing, and updating various billing procedures and fee schedules.
Action Required
By July 1, 2016: Hospitals must enroll as practitioner groups in Connecticut Medical Assistance Program (CMAP) to bill outpatient professional services separately from OPPS. Ensure performing providers are enrolled under the practitioner group. Update billing systems to use new APC methodology instead of Revenue Center Codes. Review and implement new drug testing codes G0477-G0483 replacing discontinued G6030-G6058 range. Verify prior authorization requirements for new molecular pathology codes 81162-81595. Submit retroactive eligibility authorization requests within 30 days of eligibility being granted.