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MedicaidAdministrativeMedium impact

Billing Protocol for Services Provided in Emergency Rooms by Physicians Not Enrolled in Medicaid

Connecticut Medicaid (HUSKY Health)·CT · Emergency Medicine·Provider Bulletin
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has issued new billing protocols for emergency room services when the treating physician is not enrolled in Medicaid. This affects how practices handle billing and reimbursement for ER services provided by non-enrolled physicians.

Action Required

Action needed
Immediately: Billing team must review the Connecticut Medicaid provider bulletin at https://www.huskyhealthct.org/provider_postings/Billing_Protocol_Services_in_ER.pdf to understand new billing procedures for ER services by non-enrolled physicians. Update billing workflows and staff training for Connecticut Medicaid patients receiving ER care from non-enrolled providers.