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Connecticut Medicaid (HUSKY Health)Medicaid · Coverage · Reimbursement · CT · ChiropracticHigh impact

2026.31 - Provider Bulletin - Updates to the Chiropractor Fee Schedule

Act
by Jun 30, 2026
Effective date
Jul 1, 2026
Identified
Jul 10, 2026

Summary

Connecticut Medical Assistance Program (CMAP) is end-dating CPT code 98943 (chiropractic manipulative treatment to regions other than spine) effective July 1, 2026. This procedure will no longer be eligible for reimbursement under CMAP, as the state is narrowing coverage to align with federal and state regulations that specify Medicaid coverage for chiropractor services as manual manipulation of the spine only. Chiropractors must update their billing practices to stop billing this code to CMAP.

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What to do

by Jun 30, 2026 · 5 steps
01Billing team must update billing software to deny or block CPT 98943 for all Connecticut CMAP claims effective July 1, 2026.
02Remove CPT 98943 from fee schedules and encounter forms used for CMAP billing.
03Notify all chiropractors and chiropractic groups in the practice that this code cannot be billed to CMAP after July 1, 2026.
04Download the updated CMAP fee schedule from www.ctdssmap.com to verify all current covered codes.
05Any claims submitted with CPT 98943 for CMAP dates of service on or after July 1, 2026 will be denied and may result in overpayment recovery.

Codes mentioned

98943

Original notice

2026.31 - Provider Bulletin - Updates to the Chiropractor Fee Schedule
ctdssmap.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesChiropracticCode 98943

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