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MedicaidReimbursementMedium impact

2026.30 - Provider Bulletin - Updates to the Independent Radiology and Physician-Radiology Fee Schedules

Connecticut Medicaid (HUSKY Health)·CT · Radiation Oncology, Radiology·Provider Bulletin
Effective date
Jul 1, 2026
We identified it
Jul 10, 2026
Days to comply

Summary

Connecticut Medical Assistance Program (CMAP) is updating reimbursement rates for five radiation treatment procedure codes effective July 1, 2026. Rates for imaging guidance and delivery of simple, intermediate, and complex radiation treatments have been consolidated and revalued by CMS. Billing teams must update fee schedules in their systems to reflect the new rates for dates of service on or after July 1, 2026.

Action Required

Action needed
By June 30, 2026: Billing team must download and implement the updated Connecticut CMAP fee schedule from www.ctdssmap.com (Provider > Provider Fee Schedule Download > CSV file). Update billing system fee tables for CPT codes 77387, 77402, 77407, and 77412 with the new rates: 77387=$28.54, 77402=$66.43, 77407=$250.57, 77412=$358.52. Ensure claims submitted for dates of service July 1, 2026 forward use the updated rates. Note: CPT 77387 has a rate for both the global code and the 26 modifier (both $28.54). Verify system configuration handles both correctly. Failure to update rates may result in claim underpayment or rejection by CMAP.

Affected Billing Codes

77387
77402
77407
77412