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MedicaidAdministrativeMedium impact

Implementation of ACA 1104 Phase III Operating Rules - EFT and ERA Changes (Non-RX claims)

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

Summary

Connecticut Medicaid (HUSKY Health) is implementing ACA 1104 Phase III Operating Rules that will change Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) processes for non-pharmacy claims. This affects how providers receive payment and remittance information from Connecticut Medicaid.

Action Required

Action needed
Billing team should review the full policy document at the provided URL to understand specific EFT and ERA process changes. Update banking and remittance processing procedures as outlined in the bulletin. Coordinate with practice administrator to ensure compliance with new operating rules before implementation date.