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MedicaidAdministrativeMedium impact

CMS 1500 Form (version 02/12)

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

Summary

Connecticut Medicaid (HUSKY Health) has issued a provider bulletin regarding the CMS 1500 Form (version 02/12). This appears to be guidance or requirements related to the standardized claim form used for professional healthcare services billing to Connecticut Medicaid.

Action Required

Action needed
Immediately: Review the Connecticut Medicaid provider bulletin at the source URL to understand specific CMS 1500 form requirements. Billing team should verify current form version being used matches HUSKY Health requirements and update billing processes if needed. Ensure all Connecticut Medicaid claims use proper CMS 1500 form version 02/12 formatting.
CMS 1500 Form (version 02/12) | Connecticut Medicaid (HUSKY Health) | PolicyChanges.app