MedicaidAdministrativeHigh impact
InterChange Provider Important Message
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is transitioning from revenue center code-based payments to Ambulatory Payment Classification (APC) system for hospital outpatient services on March 1, 2016. Additionally, effective January 1, 2016, specific revenue center codes (273-274, 277, 470-472, 479) will require valid CPT/HCPCS codes and prior authorization requirements are being eliminated for certain codes.
Action Required
By January 1, 2016: Hospital billing teams must ensure all claims with revenue center codes 273-274, 277, 470-472, and 479 include valid CPT/HCPCS codes or claims will deny with EOB code 390. Stop obtaining prior authorization for revenue center codes 470, 471, 472, and 479. By March 1, 2016: Prepare for transition to APC payment system - attend mandatory training workshops and refer to ctdssmap.com for implementation details. Update billing systems to handle new payment methodology and three-day rule enforcement for outpatient services prior to inpatient admissions.