MedicaidAdministrativeMedium impact
The Implementation of the OPR Claim Edits Bulletin 2
Connecticut Medicaid (HUSKY Health)·CT·Coding
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is implementing new OPR (Outpatient Prospective Payment) claim edits that will affect how outpatient facility claims are processed and reimbursed. This is the second bulletin regarding these claim edits, suggesting additional or updated requirements for Connecticut Medicaid providers.
Action Required
Immediately: Download and review the full policy bulletin from the HUSKY Health website to understand specific claim edit requirements. Billing team should update claim submission processes according to the new OPR edit rules. Monitor for claim rejections and denials related to these new edits.