MedicaidAdministrativeMedium impact
ICD-10 Related Explanation of Benefit (EOB) Codes in Connecticut Medical Assistance Program (CMAP) and Fee Schedule Updates for ICD-10 Diagnosis Codes
Connecticut Medicaid (HUSKY Health)·CT·Reimbursement
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has updated their Explanation of Benefits (EOB) codes related to ICD-10 diagnosis codes and made corresponding fee schedule updates in their Connecticut Medical Assistance Program (CMAP) system. This affects how claims are processed and how EOB codes are displayed for Connecticut Medicaid claims.
Action Required
Immediately: Billing team should review the updated EOB codes document from Connecticut Medicaid to understand new explanation codes that may appear on remittance advice. Update billing software or EOB processing procedures to recognize new ICD-10 related codes. Contact Connecticut Medicaid or review the full policy document for specific implementation timelines and detailed code changes.