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Connecticut Medicaid (HUSKY Health)Medicaid · Billing Codes · Reimbursement · CT · Pathology, Optometry, PodiatryMedium impact

2026.54 - Provider Bulletin - October 2026 Quarterly HIPAA Compliant Update-Laboratory Fee Schedule

Effective date
Oct 1, 2026
Identified
Oct 8, 2026

Summary

Connecticut's CMAP is updating its Laboratory fee schedule effective October 1, 2026, to incorporate HCPCS code changes (additions, deletions, and description updates) for HIPAA compliance. Billing teams must download the updated fee schedule from ctdssmap.com to ensure accurate coding and reimbursement for laboratory services under HUSKY Health programs (A, B, C, D).

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What to do

Action · 5 steps
01Effective October 1, 2026: Billing team must access and download the updated Laboratory fee schedule from www.ctdssmap.com (Provider > Provider Fee Schedule Download > Lab fee schedule) to identify which HCPCS codes have been added, deleted, or changed.
02Verify all laboratory claims submitted on or after October 1, 2026, use the current fee schedule codes and rates.
03Confirm prior authorization requirements and reimbursement information align with the updated schedule.
04Outpatient hospital providers must continue to reference CMAP Addendum B for outpatient services.
05Contact Provider Assistance Center at 1-800-842-8440 (Monday–Friday, 8 a.m.–5 p.m.) if unable to access or clarify fee schedule changes.

Original notice

2026.54 - Provider Bulletin - October 2026 Quarterly HIPAA Compliant Update-Laboratory Fee Schedule
ctdssmap.com · Always check the source before changing claims.
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Related changes

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Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesPathologyOptometryPodiatry

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