MedicaidAdministrativeHigh impact
DSS Important Message - Hospital Monthly Important Message - 08.17.2026
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jul 1, 2026
We identified it
Aug 25, 2026
Summary
Connecticut Medicaid (CMAP) has updated multiple billing and operational requirements effective July 1, 2026, including APC payment rate changes for procedure codes with status indicators G, K, or K1, new procedure code additions/deletions, mandatory Multi-Factor Authentication enrollment by August 1, 2026, and enhanced security protocols for Electronic Funds Transfer changes. Additionally, inpatient elective authorization requirements now mandate provider contact to CHNCT when admission dates change, or claims will be denied. Maternity care billing guidance is being updated due to global code end-dating.
Action Required
REQUIREMENTS:
1. By August 1, 2026: All users with portal access must complete mandatory Multi-Factor Authentication (MFA) enrollment. Attend optional office hours (Aug 18-21, 2026) for setup assistance. Failure to complete by deadline will restrict portal access.
2. Immediately (effective July 1, 2026): Update internal billing processes to reflect new APC payment rates for all procedure codes with status indicators G, K, or K1. Download updated CMAP Addendum B V27.2 from www.ctdssmap.com Hospital Modernization page. Claims submitted before July 9, 2026 will be adjusted in the August 2nd cycle.
3. Immediately: Implement new procedure code changes (marked as "New", "G/K", or "X" in CMAP Addendum B Changes document). Verify all updated, new, and deleted codes are reflected in billing system.
4. Effective immediately: For all inpatient elective authorizations, the billing team must establish a workflow to contact Community Health Network of Connecticut (CHNCT) at 1-800-440-5071 whenever a planned admission date changes. CHNCT will update the authorization and send corrected prior authorization to Gainwell. Failure to notify CHNCT will result in inpatient claim denials.
5. Immediately: Implement enhanced security for EFT changes (Provider Bulletin 2026-41). Use the new micro-deposit validation process when submitting EFT changes through the Provider Web Portal.
6. Before maternity care services coding changes (date to be specified in Provider Bulletin 2026-44): Review and update billing guidance for maternity care services including global procedure code transitions. Update billing software to reflect new maternity coding rules.
7. By re-enrollment due dates: Verify hospital re-enrollment status and submit applications in time for DSS review (Day Kimball: 10/8/2026; Saint Mary's: 12/17/2026; Hospital of Central Connecticut: 1/6/2027; Danbury Hospital: 1/13/2027 and 2/24/2027). Dis-enrollment will halt claims processing and eligibility verification.