Provider Bulletins

Recent Provider Bulletins

Hospital Monthly Important Message - Updated Documents (June 21, 2017)
Corrected and Updated Policy Regarding Wheeled Mobility Device Policy, Forms and Related Documents (June 21, 2017)
July 1, 2017 Changes to the Connecticut Medicaid Preferred Drug List (PDL), Reminder About the 5 day Emergency Supply, Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 14, 2017)
Change in Day Supply of Pharmacy Auto Prior Authorization of Long Acting Sustained Release Opioid Medications (June 14, 2017)
Correction to the June 2017 interChange Newsletter (June 13, 2017)
New Face-to-Face Requirements for Certain Durable Medical Equipment (DME) (June 13, 2017)
Electronic Consultations Performed in Federally Qualified Health Centers (June 13, 2017)
New Face-to-Face Requirements for Initial Orders of Home Health Services and Long-Term Home Health Services (June 13, 2017)
June 2017 InterChange Newsletter (June 13, 2017)
Updated Guidelines for Smoking Cessation Agents, Counseling and Treatment Products (June 13, 2017)
Reminder About Use of "C" Codes for Certain Advanced Imaging Services (June 13, 2017)
Provider Audit Trainings (June 13, 2017)
Tasks Required for Non-skilled Service Providers in the EVV Santrax System (June 13, 2017)
Electronic Visit Verification ABN Training Invitation (June 13, 2017)
Update to ABN Instructions for the EVV Santrax System (June 13, 2017)
2017 Information Sessions (June 13, 2017)
How to Resolve Unexpected Clients in Your Santrax System (June 2, 2017)
Attention Providers: Automated Voice Response System Downtime Notification (June 2, 2017)
Update to ABN Instructions for the EVV Santrax System (June 2, 2017)
Attention Pharmacy Providers: Third Party Liability Claim Edits to be Re-activated (June 2, 2017)
Follow up to Provider Bulletin 2016-77 – Updated Guidance Regarding Electronic Orders for MEDS Products (June 2, 2017)
Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (June 2, 2017)
Update to the Consent to Sterilization Form Submission (Federal Form OMB No. 0937-0166), Hysterectomy Information Form (W-613) and Physician Hysterectomy Certification Form Retroactive Eligibility (W-613A)Submission Process (May 23, 2017)
Radiotherapy Treatment and Follow-Up Care (May 23, 2017)
interChange Provider Important Message Attention: Outpatient Hospitals - Prior Authorization Requirement for Supprelin (J9226) and PuraPlay (Q4172) (May 23, 2017)
Addition of Criteria for Facial Feminization Procedures to the Gender Reassignment Surgery Policy (May 12, 2017)
HPE interchange important notice on CMAP - Updates on procedures codes to be reprocessed (May 12, 2017)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (May 12, 2017)
Prior Authorization Requirements for Certain Custom Wheelchair Components (May 12, 2017)
New Proc/Mod List Code for Oral Medication Administration Direct Observation Services under the Acquired Brain Injury (ABI), Connecticut Home Care (CHC)and Personal Care Assistance (PCA) Waiver Programs (May 8, 2017)
New Personal Care Assistance Procedure Codes added to the ABI Waiver Program and Procedure/Modifier Code Lists added to the ABI and CHC Waiver Programs (May 8, 2017)
Digital Breast Tomosynthesis – Outpatient Hospital Billing (May 8, 2017)
Electronic Visit Verification Implementation Important Message (May 8, 2017)
Attention: BHH /TCM / Waiver Billing and BHH /TCM/ Waiver and Mental Health Waiver Performing Providers E-Mail Subscription Update (May 1, 2017)
Program Year 2017 Announcement (May 1, 2017)
CMAP Addendum B Updated (May 1, 2017)
New Clinical Guidelines-Prior Authorization of Bathing and Toileting Equipment (April 21, 2017)
Digital Breast Tomosynthesis - Outpatient Hospital Billing (April 21, 2017)
Patient Volume Dates Issue (April 17, 2017)
Attention Providers: ACA Enhanced Provider Enrollment Requirements - Fingerprint Based Criminal Background Checks (FCBC) (April 7, 2017)
Change to Radiology Authorization Date Span (April 7, 2017)
Wheeled Mobility Device Policy, Forms and Related Documents (April 7, 2017)
Hewlett Packard Enterprise Becomes DXC Technology (April 7, 2017)
Updated Home Health Agency Electronic Visit Verification (EVV) Important Updates (April 3, 2017)
Important Birth to Three Provider Enrollment and Claim Submission Changes for Providers of Birth to Three Services under the Connecticut Medical Assistance Program (April 3, 2017)
Claim Adjudication and Electronic Visit Verification (April 3, 2017)
Home Health Agency Electronic Visit Verification (EVV) Important Updates (March 23, 2017)
Update to the Billing Requirements for Evaluations and Re-Certifications Performed by Home Health Agencies and Access Agencies (March 23, 2017)
Electronic Visit Verification (EVV) System Important Updates (March 23, 2017)
Attestation Deadline for the 2016 Program Year is March 30, 2017 (March 23, 2017)
Hospital Refresher Workshop Invitation 2017 (March 23, 2017)
March 2017 interChange Newsletter (March 23, 2017)
24 Hour Live in Guidance Related to 8:00 am Check-in/Check-out Policy (March 21, 2017)
Revised Provider Manual Chapters (March 20, 2017)
CMAP Service Interruption Notification (March 20, 2017)
Dental Fee Schedule HIPAA Compliance Update (March 13, 2017)
Implementation of New Pharmacy Pricing Methodology Using National Drug Acquisition Cost (NADAC) Files and New Dispensing Fee (March 13, 2017)
Hospital Monthly Important Message (March 9, 2017)
Important Changes to Evaluation and Assessment Services for Home Health Care Services - Addition of Review of Care Plan Code-G0162 (March 8, 2017)
Electronic Visit Verification Implementation (March 8, 2017)
Specialized Registry (March 8, 2017)
Alternate Attestation Extension (March 7, 2017)
CT Medicaid Provider File Request (March 7, 2017)
CMAP Addendum B Important Message (March 7, 2017)
Post - Payment Audit Tip Sheets (March 1, 2017)
Authorization for Palivizumab (Synagis) (March 1, 2017)
Changes to the Prior Authorization Process for Genetic Testing Services (March 1, 2017)
Change to Unit of Measure for 1546P - Independent Living Skills Training (February 24, 2017)
Changes to the Prior Authorization Process for Cranial Remolding Orthoses (February 24, 2017)
Updated MEDS Fee Schedule Changes (February 24, 2017)
CMAP Addendum B Important Message (February 17, 2017)
Electronic Visit Verification Implementation (February 17, 2017)
Meaningful Use Reporting Period for 2016 and 2017 (February 17, 2017)
Hospital Monthly Important Message (February 17, 2017)
Revised Provider Manual Chapters (February 8, 2017)
Updated EVV Implementation Date for Home Health Services (February 8, 2017)
Electronic Visit Verification Implementation (January 27, 2017)
CT Medicaid Provider File Request (January 23, 2017)
Electronic Visit Verification Implementation (January 23, 2017)
Hospital Monthly Important Message (January 13, 2017)
Independent Physical and Occupational Therapy Fee Schedule HIPAA Compliant Update (January 13, 2017)
Revised Provider Manual Chapters (January 10, 2017)
(1) 2017 HIPAA Compliant Update (2) Changes to the Reimbursement of Select Services (3) Addition and Removal of Services (January 3, 2017)
Frequently Asked Questions (FAQs) (January 3, 2017)
2017 Independent Radiology Fee Schedule HIPAA Compliant Update (January 3, 2017)
2017 Fee Schedules HIPAA Compliant Update (January 3, 2017)
Annual Update - Outpatient Hospitals (1) 2017 Annual Update - CMAP's Addendum B (2) JW Modifier (3) Coding Changes (January 3, 2017)

Bulletins

2016 Provider Updates

Ambulatory Surgical Centers, Dialysis Clinics, Freestanding Behavioral Health Clinics Fee Schedules HIPAA Compliance Update (December 30, 2016)
Resident Re-enrollment Letters (December 30, 2016)
Rates for 2017 Medicaid Ambulatory Surgical Center Fee Schedule (December 30, 2016)
2017 Consolidated Laboratory Fee Schedule Update (December 30, 2016)
Coverage for Kyleena – Intrauterine Device (IUD) (December 30, 2016)
Elimination of Paper Claims Update (December 30, 2016)
Interpreter Services for Individuals with Limited English Proficiency and Hearing Impairments (December 30, 2016)
Electronic Visit Verification Refresher Training Invitation (December 30, 2016)
Provider Bulletin PB16-86 Rescinded (December 30, 2016)
Electronic Health Records Incentive Program: Register for the Public Health Immunization Registry on or Before December 31, 2016 (December 28, 2016)
Reporting Requirements for E-Consultations Performed at Federally Qualified Health Centers (December 19, 2016)
Revised Provider Manual Chapters (December 6, 2016)
LogistiCare's Quality of Care/Quality of Transportation Service Referral Form (December 6, 2016)
Inpatient Hospital Important Message (December 6, 2016)
Changes to the Implementation of Prior Authorization for Oral and Maxillofacial Surgery Codes (November 29, 2016)
Clarification of Orthognathic Surgery Medical Necessity Definitions - Surgery Codes (November 29, 2016)
Revised: Documentation and Billing Guidelines for Services Performed by Residents (November 28, 2016)
Provider Enrollment Agreement for Project Notify and Health IT Initiatives (November 28, 2016)
Important EVV Implementation Date Update (November 18, 2016)
Important Information Regarding Provider Enrollment for Crossover Claims (November 18, 2016)
Release of Claims Held in Suspense Due to no Care Plan or Service Authorization (November 18, 2016)
Hospice Rates for Federal Year 2017 (November 18, 2016)
Changes in Meal Delivery Reimbursement (November 18, 2016)
Updated Guidance Regarding Electronic Orders for MEDS Products (November 18, 2016)
Screening Brief Intervention, and Referral to Treatment (SBIRT) Performed at Federally Qualified Health Centers (FQHC's) (November 18, 2016)
CHNCT eviCore Webinars (November 18, 2016)
EVV Guidance When Multiple Clients Reside in the Same Household (November 18, 2016)
New Prior Authorization Request Form for Long Acting Sustained Release Opioid Medications (November 11, 2016)
Hospital Monthly Important Message (November 11, 2016)
Revised Provider Manual Chapters (November 9, 2016)
Eligible Professionals and Eligible Hospitals Only Need a 90-day Reporting Period for Meaningful Use in 2016 and 2017 (November 9, 2016)
Electronic Visit Verification (EVV) Input and Feedback Request (November 9, 2016)
HPE PB16-72 Web Portal Claim History Inquiry (November 9, 2016)
Program Year 2016 is the last year for providers to attest for the first time (November 9, 2016)
Flu Vaccine Availability and the Connecticut Vaccine Program (November 8, 2016)
Billing Guidelines for Inpatient Stays Following Observation/Outpatient Services (October 31, 2016)
Inpatient Hospital Important Message (October 31, 2016)
Procedure for Removal of Hospital Lock-In Status and Use of Medicaid Prescription Vouchers for Individuals Released from Correctional Institutions or Through the Courts (October 31, 2016)
Split/Shared Medical Visits (October 31, 2016)
Home Health Refresher Workshop Invitation (October 24, 2016)
Update on Flu Vaccine Availability - Flucelvax (CPT code 90674) (October 20, 2016)
Outpatient Hospital Modernization FAQ (October 20, 2016)
Treatment for Gender Identity Disorder - Gender Reassignment Surgery and Procedures (October 20, 2016)
ICD-10 Diagnosis Codes Not Covered for Date of Services 10/1/2016 and Forward(October 20, 2016)
Important EVV Implementation Date Update (October 20, 2016)
Santrax Payer Management System Important Message (October 20, 2016)
Hospital Monthly Important Message (October 18, 2016)
New Eligibility System (October 18, 2016)
CHC Refresher Workshop (October 12, 2016)
Important Electronic Visit Verification (EVV) Notice (October 12, 2016)
Electronic Visit Verification Implementation (Updated 10/6/16) (October 12, 2016)
Revised Provider Manual Chapters (October 6, 2016)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (October 6, 2016)
Subsequent Observation Procedure Codes (99224-99226) (October 3, 2016)
CMAP Addendum B Updated (October 3, 2016)
Annual Reassessment: Provider Attendance and Location (September 23, 2016)
EVV - Important Message Update: New SSN Policy, Updated Task List and Training Information (September 23, 2016)
Important ABI Reminders and Updates (September 19, 2016)
Frequently Asked Questions (FAQs) ? Provider Bulletin PB16-31 (September 19, 2016)
Hospital Monthly Important Message (Updated 9/14/16) (September 15, 2016)
Revised Provider Manual Chapters (Updated 9/9/16) (September 14, 2016)
CMAP Addendum B Updated (Posted 9/7/16) (September 9, 2016)
School Based Child Health Enrollment on the Web Workshop Invitation (September 9, 2016)
ACA Enhanced Provider Enrollment Requirements - Fingerprint Based Criminal Background Checks (FCBC) (September 9, 2016)
Reimbursement Update of Code 81528 on Independent Laboratory Fee Schedule (September 6, 2016)
Electronic Visit Verification Reporting a Change in Client Condition (September 6, 2016)
LTC Refresher Workshop Invitation (August 29, 2016)
Dental Fee Schedules Effective September 1, 2016 Are Available (August 29, 2016)
Caregiver Time Documentation Best Practices in EVV/FVV Device Order Form (August 25, 2016)
Meaningful Use Attestation Deadline for Program Year 2015 is August 31, 2016 (August 24, 2016)
Phase II Children's Dental Fee Schedule Reduction (August 24, 2016)
Outpatient Hospitals Prior Authorization Issue (updated 8/18/2016) (August 24, 2016)
Hospital Monthly Important Message (Updated 8/17/16) (August 18, 2016)
Eligible Clients Under the Affordable Care Act Part V (Temporary ID Notice Update) (August 17, 2016)
Update to 835 Electronic Remittance Advice (ERA) for September (August 17, 2016)
Inpatient Delivery Stays (Updated 8/12/16) (August 17, 2016)
Repairs and Modifications for Miscellaneous Wheelchair Components Billed Under Procedure Code K0108 (August 17, 2016)
Outpatient Prospective Payment System and Inpatient Only Procedures (August 17, 2016)
Revised Provider Manual Chapters (Updated 8/3/16) (August 5, 2016)
Hospital Refresher in CMAP Hospital Policies and Claim Submission Procedures Workshop Invitation 2016 (August 4, 2016)
New Autism Spectrum Disorder Services (August 3, 2016)
Electronic Visit Verification Implementation (Updated 7/28/16) (July 29, 2016)
Phase I Changes to the Children's Dental Fee Schedule for August 1, 2016 (July 29, 2016)
CMAP Medicaid Access Monitoring Review Plan (AMRP) (July 27, 2016)
Reinstatement of Pharmacy Monthly Co-pay Maximum for Dual Eligible Clients (July 27, 2016)
ABI Billing and Web Claim Submission Workshop Invitation (July 19, 2016)
Electronic Visit Verification Notification to Clients Receiving Services (July 19, 2016)
CT DSS EVV Webinar Based Training (July 15, 2016)
Web Claim Submission Workshop Invitation (July 15, 2016)
Patient Encounter List (PEL) - Template and Requirements for Both Program Years 2015 and 2016 (July 12, 2016)
Revised Joint Guidance Issued by DSS and CTDOL Regarding USDOL's Home Care Final Rule (July 12, 2016)
Attention Providers – Provider Bulletin PB16-37 New Autism Spectrum Disorder Services is Being Rescinded (June 30, 2016)
Provider Qualification Process for Autism Spectrum Disorder Services (June 30, 2016)
Elimination of Paper Claims FAQ (June 30, 2016)
EVV Training Important Information (June 28, 2016)
Outpatient Hospital Modernization – Behavioral Health Services (June 28, 2016)
Mosquito Repellent Bulletin (June 28, 2016)
Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (June 22, 2016)
Opioid Legislation (June 22, 2016)
Electronic Visit Verification Third Party Interface Support (PB16-33) Clarification (June 22, 2016)
Payment for Inpatient Hospital Care Provided to Inmates (June 21, 2016)
DSS Issues Request for Proposals (RFP) for Medicaid Quality Improvement and Shared Savings Program (June 13, 2016)
Electronic Visit Verification Third Party Interface Support (June 13, 2016)
Electronic Visit Verification Important Message (Updated 6/10/16) (June 13, 2016)
July 1, 2016 Changes to the Connecticut Medicaid Preferred Drug List (PDL), Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 9, 2016)
Billing for Customized Wheelchairs (June 9, 2016)
Elimination of Paper Claims Notification (June 9, 2016)
Electronic Visit Verification Updates (June 9, 2016)
View EVV Introductory Webinar Invitation (June 9, 2016)
View EVV Introductory Webinar Invitation (June 9, 2016)
View Updated EVV FAQ (June 9, 2016)
Update Regarding Outpatient Hospital Modernization - Outpatient Prospective Payment System (OPPS) (June 3, 2016)
Modified Stage 2 Meaningful Use 2016 (June 3, 2016)
MAPIR Is Now Available and Accepting Medicaid Eligible Professionals (EP) Attestations for Modified Stage 2 of the EHR Incentive Program (June 3, 2016)
Home Health Medication Administration Reimbursement Reduction (June 3, 2016)
Important Information - Modified Stage 2 Meaningful Use 2015 (May 26, 2016)
Hospital Modernization (APC) June 2016 Workshop Invitation (May 24, 2016)
Introduction to the Department of Social Services Electronic Visit Verification Implementation (May 18, 2016)
Updated Timeframe for Requesting Authorization for Retroactive Eligibility (May 18, 2016)
Electronic Visit Verification Implementation Update (May 18, 2016)
New National Drug Code Requirements for Manually Priced Vaccines and Toxoids (May 17, 2016)
Medicare Cost Reports (May 17, 2016)
Discontinue Use of Expired Form W-1HUS (HUSKY Application and Renewal Form) (May 11, 2016)
Upcoming Changes to the CT Medicaid EHR Incentive Program Attestation Review Process for Eligible Professionals (May 11, 2016)
New HUSKY D Medicaid Procedures for Individuals Needing Long-Term Services and Supports (LTSS) (May 4, 2016)
Changes to Prior Authorization Requirements for Advanced Imaging and Nuclear Cardiology Services (April 26, 2016)
May Updates to 835 Electronic Remittance Advice (ERA) (April 22, 2016)
Outpatient Claim Submission Workshop Invitation May 2016 (April 22, 2016)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (April 22, 2016)
Attention Connecticut Home Care (CHC), Personal Care Assistance (PCA), Community First Choice, and Home Health Agency Providers (April 22, 2016)
Hospital Billing and Reimbursement for Immediate Postpartum Long-Acting Reversible Contraceptive Products (April 15, 2016)
Important ABI Waiver Provider Enrollment and Claim Submission Changes for Providers of ABI Waiver Services under the ABI Waiver Program (April 15, 2016)
Hospital interChange Provider Issues Updated (April 14, 2016)
Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (April 14, 2016)
Inpatient delivery stays denying due to lack of prior authorization when the delivery stays do not require prior authorization (April 12, 2016)
Attention Hospice Providers: Fee Schedule Updates (March 31, 2016)
Inpatient delivery stays denying due to lack of prior authorization when the delivery stays do not require prior authorization (March 31, 2016)
Electronic Visit Verification (EVV) Implementation Important Message and Introduction to EVV Presentation (March 31, 2016)
Clarification of Changes to Narcan Prescribing (March 17, 2016)
Prescribing of Opioid Antagonists by Certified Pharmacists (March 16, 2016)
Notification of Federal Upper Limit Changes (March 16, 2016)
Inpatient Hospital Providers - Inpatient delivery stays denying due to lack of prior authorization when the delivery stays do not require prior authorization (March 10, 2016)
Attention Home Health Providers: Remittance Advice Issue (March 10, 2016)
Updated MEDS Fee Schedule Changes (March 8, 2016)
interChange Provider Important Message - Electronic Visit Verification Implementation Overview (March 4, 2016)
interChange Provider Important Message (March 4, 2016)
URGENT MESSAGE! To All Eligible Professionals seeking to avoid Medicare payment adjustments (March 3, 2016)
Durable Medical Equipment Providers - Fee Schedule Update Effective March 1, 2016 (March 1, 2016)
Hospital Based Practitioners - Outpatient Services (February 26, 2016)
Updated MEDS Fee Schedule Changes (February 26, 2016)
Change in Timeframe for Requesting Authorization for Retroactive Eligibility (February 16, 2016)
An Alternate Method of Attestation is Available for Certain Medicaid Providers through the EHR Incentive Program Registration and Attestation System (February 10, 2016)
Billing for Partial Payment for Behavioral Health Intermediate Levels of Care (February 2, 2016)
Guidance to Eligible Hospitals (EHs) on the Public Health Specialized Case Registry Option for Medicaid EHR Incentive Program Meaningful Use Applications Program Years 2015 and 2016 (February 2, 2016)
Guidance to Eligible Professionals on the Public Health Specialized Case Registry Option for Medicaid EHR Incentive Program Meaningful Use Applications Program Years 2015 and 2016 (February 2, 2016)
Update on the Status of Meaningful Use Public Health Measure Registry Options for the EHR Incentive Program for Program Years 2015 and 2016 (January 29, 2016)
Updated Consent to Sterilization Form Posted to Web Portal (January 29, 2016)
Revised 2016 Medicaid Consolidated Laboratory Fee Schedule (January 22, 2016)
New Coverage Guidelines for CPT Code V2025 Deluxe Frames (January 22, 2016)
Revised 2016 Medicare Physician Fee Schedule (MPFS) (January 12, 2016)
Important PCA Waiver Provider Enrollment and Claim Submission Changes for Agency Providers of Adult Family Living and Support Broker Services Under the PCA Waiver Program (January 8, 2016)
Documentation and Billing Guidelines for Services Performed by Residents in the Hospital Setting (January 8, 2016)
New Prior Authorization Request Form for PCSK9 Inhibitors (January 4, 2016)
2016 Independent Radiology Fee Schedule HIPAA Compliant Update (January 4, 2016)

2015 Provider Updates

2016 HIPAA Compliant Update, Establishing Maxfees for Select Services, Removal and Addition of Select Services, and Place of Service Codes (December 31, 2015)
2016 Clinic Fee Schedules HIPAA Compliant Update (December 31, 2015)
2016 Independent Audiology and Speech and Language Pathology Fee Schedule HIPAA Compliant Update (December 31, 2015)
Consolidated Laboratory Fee Schedule Update (December 30, 2015)
School Based Child Health Provider Enrollment/Re-Enrollment on the Web (December 24, 2015)
Alternative Measures and Exclusions will be available to Eligible Professionals who are scheduled to attest to Meaningful Use Stage 1 under the new program requirements (Modified Stage 2) (December 10, 2015)
InterChange Provider Important Message (December 10, 2015)
Medications for Substance Use Disorders (December 3, 2015)
Medication Administration Savings Expectations for Fiscal Years 2016 (December 3, 2015)
Update to Revenue Center Codes (RCC) Requiring a Valid CPT or HCPCS on Outpatient Claims and Change in Prior Authorization Requirements for certain RCCs (November 30, 2015)
Changes to Prior Authorization Requirement for Selected Codes on Physician Fee Schedule (November 30, 2015)
Outpatient Hospital Modernization – Outpatient Prospective Payment System (OPPS) (November 23, 2015)
Additional Expansion of Coverage For Over The Counter (OTC) Products (November 20, 2015)
Clarification of Ambulance Mileage Procedure Codes (November 20, 2015)
Outpatient Hospital APC December Workshops (November 17, 2015)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (November 10, 2015)
CMS National Correct Coding Initiative (NCCI) (November 10, 2015)
Changes to the Ambulance Fee Schedule (Emergency and Non-Emergency) (November 5, 2015)
New Prior Authorization Request Form for Orkambi (November 5, 2015)
Developmental and Behavioral Screens in Primary Care (November 4, 2015)
Rate for Live-In Person Care Assistant Service (October 23, 2015)
Three (3) Day Rule: Outpatient Stay Prior to Inpatient Admission (October 23, 2015)
Changes to the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types (October 20, 2015)
Multi-disciplinary Examinations (October 20, 2015)
Fee Schedule Update for Behavioral Health Clinics (October 20, 2015)
Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Primary Care (October 16, 2015)
Autism Spectrum Disorder (ASD) Evaluation and Treatment Services Provided by Medical Clinics, Rehabilitation Clinics and Board Certified Behavior Analysts (October 14, 2015)
Addition of New Medication Administration Prompt Code (September 30, 2015)
Important - Withdrawal of Extended Nursing Services Policy (September 30, 2015)
Increase in Hospice Rates (September 28, 2015)
Decrease in Current Rate for Code G0431 (September 15, 2015)
Addition of New Meningococcal Vaccines to the Medical Clinic and Physician Office and Outpatient Fee Schedules (September 15, 2015)
Addition of Code Q4081 to Dialysis Clinic Fee Schedule (September 15, 2015)
Claims with Abortion Procedure Codes (September 15, 2015)
Medically Unlikely Edits (MUEs) (September 15, 2015)
Revised Provider Manual Chapters (September 15, 2015)
Billing Requirements to Identify a Distinct/Separate Urgent, Clinic or Emergency Visit (August 17, 2015)
Revised Billing Instructions for Outpatient 340B Pharmacies on Outpatient Claims (August 7, 2015)
Provider Enrollment for New CT Home Care Program Services (August 7, 2015)
Changes to the Reimbursement for Physician Pathology, Medicine and Surgical Services with a Professional (26) and Technical (TC) Component (August 7, 2015)
Claims Processing Guidance for Implementing ICD-10 Codes (August 7, 2015)
Audiology and Speech and Language Pathology Reimbursements (August 3, 2015)
Elimination of Mailing Paper Remittance Advices (August 3, 2015)
Important Changes to Electronic Orders for MEDS Products (August 3, 2015)
Modifications to Prior Authorization Requirements for Select Surgical Codes (July 30, 2015)
ICD-10 Information (July 30, 2015)
Eligible Clients under the Affordable Care Act Part IV (Temporary ID Update) (July 30, 2015)
Pharmacy Legislative Changes and Prior Authorization Changes (July 23, 2015)
Withdrawal of Home Health Aide Services Policy (July 23, 2015)
Connecticut Medical Assistance Program Hospice Refresher Workshop (July 23, 2015)
Upcoming Changes to the Automated Voice Response System Menu Options (July 20, 2015)
Continuation of the HUSKY Health Primary Care Increased Payments Policy (July 17, 2015)
Changes to the Orthodontic Qualifying Score (July 17, 2015)
Hospital interChange Updated as of 07/13/2015 (July 10, 2015)
Revised Provider Manual Chapters (July 10, 2015)
** HUSKY Health Primary Care Increased Payments Policy ** (July 8, 2015)
Pharmacy Legislative Changes due to the Provisions of the State Budget (July 8, 2015)
Payment Error Rate Measurement (PERM) Program Audit Requests (July 2, 2015)
Quantity Modifications for Laboratory Procedure Codes (July 2, 2015)
ICD-10 Related Explanation of Benefit (EOB) Codes in Connecticut Medical Assistance Program (CMAP) and Fee Schedule Updates for ICD-10 Diagnosis Codes (July 2, 2015)
Billing Protocol for Services Provided in Emergency Rooms by Physicians Not Enrolled in Medicaid (July 2, 2015)
Pharmacy Legislative Changes due to the Provisions of the State Budget (July 2, 2015)
Long Term Care and Inpatient Hospital Providers (July 2, 2015)
Connecticut State Budget and Changes under the Connecticut Medical Assistance Program (June 30, 2015)
Billing Procedures for Services Ordered by Residents and Interns (June 25, 2015)
Requirements for Payment to Federally Qualified Health Centers (June 24, 2015)
Changes to the CT Medicaid Preferred Drug List, Hepatitis C Prior Authorization Criteria, Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the PDL (June 12, 2015)
Nursing Home and ICF/IID Enrollment/Re-enrollment on the Web (June 12, 2015)
Tobacco Cessation Group Counseling Services (June 5, 2015)
Prior Authorization of Home Health Aide and Extended Nursing Services (June 3, 2015)
Obstetrics Pay for Performance Program (June 2, 2015)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (May 22, 2015)
REVISED: Prior Authorization for Medical Inpatient Hospital Stays (May 11, 2015)
Electronic Time Keeping for Home Health Agencies and other Home and Community Based Service Providers (May 11, 2015)
Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (May 7, 2015)
Changes in Dental Coverage for Bitewings (May 7, 2015)
Updated Guidance on Reporting Menu Objectives in Stage 1 Meaningful Use (MU) in Program Year 2014 (May 7, 2015)
Provider Audit Trainings (May 6, 2015)
Prior Authorization of Genetic Testing Services (April 30, 2015)
Electronic Time Keeping for Home Health Agencies and other Home and Community Based Service Providers (April 29, 2015)
Prior Authorization for Medical Inpatient Hospital Stays (April 24, 2015)
Revised Billing Instructions for Outpatient Claims (April 14, 2015)
Digital Breast Tomosynthesis (April 14, 2015)
Temporary Delay for Pricing of Complex Rehabilitative Technology Equipment - MEDS (April 2, 2015)
Implementation of Electronic Messaging - Replacement to the Mailing of Bulletins/Policy Transmittals (March 12, 2015)
Independent Radiology Fee Update (March 5, 2015)
DSS Pricing Policy for MEDS Items (April 8, 2015)
Inpatient Hospital Modernization-Per Diem Payments for Rehabilitation and Behavioral Health (March 4, 2015)
Billing Guidelines for Procedure Code B9998 – NOC Enteral Supplies (March 2, 2015)
Establishment of Fixed Fees for Certain Outpatient Procedures (March 2, 2015)
Revised Physician Radiology Fee Schedule – Professional Component of Radiology Services (March 2, 2015)
Removal of the Prior Authorization Requirement from HCPCS A4264 (March 2, 2015)
Re-pricing Rehabilitation Clinic Rates (March 2, 2015)
Services Reimbursed Under the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types (March 2, 2015)
Dental Regulations Regarding Placement of Amalgam Restorations (March 2, 2015)
Incentives for Medication Certification of Home Health Aides and for Administration of Medication by a Certified Home Health Aide (March 2, 2015)
Revised 2015 Physician-Surgical, Physician-Radiology, Physician Office and Outpatient and Independent Radiology Fee Schedules (February 17, 2015)
Digital Breast Tomosynthesis - CPT codes 77061 - 77063 (February 17, 2015)
Clarification of Billing Medication Administration Visit Code and Skilled Nursing Visit Code Related to Pre-pouring of Medication (February 6, 2015)
Expansion of Step Therapy Drug Classes (February 6, 2015)
Updated MEDS Fee Schedule Changes (February 6, 2015)
Hall Technique for the Placement of Stainless Steel Crowns (January 26, 2015)
Billing Clients for Missed Appointments (January 23, 2015)
Increasing the Reimbursement Rate for Mirena – HCPCS J7302 (January 23, 2015)
Important Change to CHC Fee Schedule (January 19, 2015)
Inpatient Medicare Exhausted Claims (January 9, 2015)
Clarification Concerning Prior Authorization for Alcohol Withdrawal Delirium (January 9, 2015)
Expansion of National Correct Coding Initiative to Additional Provider Types (January 6, 2015)
Weather Related Transportation Cancelation/Delays (January 6, 2015)
Consolidated Laboratory Fee Schedule Update (January 6, 2015)
Incorporation of January 2015 Healthcare Common Procedure Coding System (HCPCS) (January 6, 2015)
2015 Clinic Fee Schedules HIPAA Compliant Update (January 6, 2015)
HIPAA Billing Code Update for Independent Radiology (January 6, 2015)
Billing for Emergency Department Services (January 6, 2015)
Inpatient Hospital Modernization/Non DRG Payments for Per Diem Services (January 6, 2015)
Autism Spectrum Disorder (ASD) Evaluation and Treatment Services (January 6, 2015)
Behavioral Health Clinician and Psychologist 2015 HIPAA Compliant Fee Schedule Updates (January 6, 2015)

2014 Provider Updates

Rate Increase for Home Health Agencies (December 17, 2014)
January 1, 2015 Changes to the Connecticut Medicaid Preferred Drug List (PDL) / Reminder About the 5 day Emergency Supply / Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (December 3, 2014)
Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients (December 3, 2014)
New Hepatitis C Prior Authorization Criteria - Sovaldi™ (December 3, 2014)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health, Charter Oak, and CADAP Programs) (December 3, 2014)
Rate for Live-in Personal Care Assistant Service (December 3, 2014)
Inpatient Hospital Payment Modernization/All Patient Refined-Diagnostic Related Group (APR-DRG) (December 3, 2014)
Increasing the Reimbursement Rate for Paragard – HCPCS J7300 (November 24, 2014)
Funding for State-Funded Coverage for Independent Chiropractic Services for Adults Has Ended for State Fiscal Year 2015 (SFY2015) (November 17, 2014)
Mileage Reimbursement for Homemakers and Companions Transporting Clients to Medical Appointments (November 13, 2014)
HUSKY Health Primary Care Increased Payments Policy (November 5, 2014)
Tobacco Cessation and New Screening Code and Program for Dental Hygienists (October 24, 2014)
Provider Electronic Software (PES) Upgrade, Version 3.81 v2 (October 24, 2014)
Provider Electronic Software (PES) Upgrade, Version 3.81 (October 24, 2014)
Increase in Hospice Rates (October 15, 2014)
Business Associate Agreement Between the Department of Social Services, Vendors and All CMAP Providers (October 15, 2014)
Tobacco Cessation Group Counseling at Hospital Outpatient Settings (October 15, 2014)
Addition of Influenza Vaccine (CPT 90688) to the Physician Office and Outpatient Fee Schedule (October 9, 2014)
Companion/Aide Authorization Requirement (October 9, 2014)
Implementation of ACA 1104 Uniform Use of CARCs, RARCs and CAGCs on the X12 835 Health Care Claim Payment/Advice (October 8, 2014)
Hospital Based Practitioners - Inpatient Services (October 8, 2014)
Full Activation of Pharmacy and Non-Pharmacy OPR Edits and Rescheduling of Hydrocodone Combination Products (October 8, 2014)
Private PRTF Per Diem Rates (October 8, 2014)
Urine Drug Screens Ordered by Methadone Clinics (October 8, 2014)
Update to the Medicaid Dental Services Fee Schedule and Policy (September 16, 2014)
Reimbursement for Practitioner Services Rendered in a Facility Setting (September 5, 2014)
New Prior Authorization Form for Step Therapy Additional Classes (September 5, 2014)
Influenza Vaccinations Administered in Family Planning Clinics (September 2, 2014)
Newly Eligible Clients under the Affordable Care Act (Part II) (August 15, 2014)
Updated Provider Re-enrollment Notification and Process (August 15, 2014)
Clarification to Policy Bulletin 14-47 "Interim Guidance Regarding Electronic Orders for MEDS Products" (August 15, 2014)
Add-on’s to fees for extraordinary costs related to AIDS, maternal and child health care, Escort services, or extended hour services (August 15, 2014)
Pharmacy Web Prior Authorization (August 15, 2014)
Prior Authorizations for Preventative Medicine and Evaluation and Management Visits Occurring on the Same Date of Service for Patients, 18-21 Years Old (August 15, 2014)
Billing Guidance for Developmental and Behavior Health Screens in Primary Care (August 15, 2014)
Developmental and Behavioral Health Screens in Primary Care - Requirement of Modifiers (July 22, 2014)
Implementation of Connecticut General Statute 19a-492 Permitting Registered Nurses to Delegate Administration of Medication to Home Health Aides who have Obtained Certification for Medication Administration (July 22, 2014)
Implementation of ACA 1104 Phase III Operating Rules - EFT and ERA Changes (Non-RX claims) (July 22, 2014)
New CHC Respite PCA Service Procedure Codes (July 22, 2014)
Enrollment Requirements for Residents (July 22, 2014)
Interim Guidance Regarding Electronic Orders for MEDS Products (July 2, 2014)
Expansion of Coverage For Over The Counter (OTC) Products (July 2, 2014)
Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (July 2, 2014)
Expansion of Coverage Provided by Licensed Behavioral Health Clinicians in Independent Practice (June 20, 2014)
Pharmacy Implementation of ACA 1104 Phase III Operating Rules - EFT and ERA Changes (June 20, 2014)
State Fiscal Year 2015 (SFY 2015) Funding for State-Funded Coverage for Independent Chiropractic Services for Adults (June 20, 2014)
Billing Requirements for Urgent and Emergent Care (June 4, 2014)
Non-FQHC Services Rendered in the Hospital and Nursing Facility (June 4, 2014)
July 1, 2014 Changes to the Connecticut Medicaid Preferred Drug List (PDL, Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 4, 2014)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (May 16, 2014)
Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (May 16, 2014)
Change in Timeframe for Processing of Retroactive Authorizations – Inpatient Hospital Stays (May 16, 2014)
Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (May 13, 2014)
Obstetric Pay for Performance Program (May 13, 2014)
Updated Pharmacy Billing Notification Regarding Newly Eligible Clients Under the Affordable Care Act (May 13, 2014)
Newly Eligible Clients under the Affordable Care Act (Part III) (May 6, 2014)
Outpatient Border Hospital Rates (April 30, 2014)
New Provider Enrollment Requirements for FQHC Providers Performing Non-FQHC Services (April 17, 2014)
Authorization For Clients With Other Insurance (OI) or Medicare (April 14, 2014)
Timely Completion of Medical Records in the Hospital Setting (April 14, 2014)
Locum Tenens Providers (April 14, 2014)
Postponement: New Policies and Procedures Regarding Requirements for Payment of DME, including Customized Wheelchairs (March 24, 2014)
Implementation of the ICD-10 Code Sets (March 21, 2014)
Home Health Agency Care Plan and Claim Submission Changes Under the Connecticut Home Care Program for Elders (March 20, 2014)
Care Plan and Claim Submission Changes Under the Connecticut Home Care Program (March 19, 2014)
Coverage of Hospital-Grade Breast Pumps under Durable Medical Equipment (DME) Fee Schedule (March 19, 2014)
Amended Pages to Annual Report of Long-Term Care Facility (March 14, 2014)
Adult Family Living/Foster Care Credentialing/Enrollment and Claim Submission Guidelines (March 14, 2014)
Newly Eligible Clients under the Affordable Care Act (Part II) (March 11, 2014)
Changes to the Requirements for the Prior Authorization of Home Health Aide Services (March 10, 2014)
Delay in Implementation: New Policies and Procedures Regarding Requirements for Payment of DME, including Customized Wheelchairs (March 4, 2014)
2014 ACA Enhanced Rates for Primary Care Services (February 27, 2014)
Prior Authorization for Alcohol Withdrawal Delirium (February 21, 2014)
Updated MEDS Fee Schedule and Reimbursement (February 21, 2014)
Vaccine Administration Procedure Codes 90471-90474 (February 11, 2014)
Prior Authorization of Nuclear Cardiology Studies (January 31, 2014)
Revenue Center Codes (RCC) Requiring a Valid CPT or HCPCS Procedure Code on Outpatient Claims (January 31, 2014)
New Policies and Procedures Regarding Requirements for Payment of DME, including Customized Wheelchairs (January 30, 2014)
Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (January 28, 2014)
Behavioral Health Clinic Fee Schedule Update (January 20, 2014)
Psychologist Fee Schedule Update (January 20, 2014)
Newly Eligible Clients under the Affordable Care Act (Provider Bulletin 2014-01) (January 10, 2014)
Physician Fee Schedule Updates (January 10, 2014)
Fee Schedule Updates 2 (January 10, 2014)
CMS 1500 Form (version 02/12) (January 6, 2014)
Fee Schedule Updates (January 6, 2014)
Consolidated Laboratory Fee Schedule Update (January 6, 2014)
Incorporation of January 2014 Healthcare Common Procedure Coding System (HCPCS) (January 6, 2014)

2013 Provider Updates

Medicare Part D Co-pays for Dual Eligible Husky Low Income Subsidy Clients (December 16, 2013)
January 2, 2014 Changes to the Connecticut Medicaid Preferred Drug List (PDL, Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (December 12, 2013)
Change to Current Medicare Cost Avoidance Requirements for Home Health Claims (December 9, 2013)
Implementation of ACA 1104 Phase III Operating Rules - EFT and ERA Changes (December 9, 2013)
CT Home Care Program for Elders (December 9, 2013)
Shutdown of Charter Oak Health Plan and ConnPACE Programs (December 5, 2013)
Administration of automated medication dispensers for the purpose of dispensing medication (December 5, 2013)
International Classification of Diseases, 10th Revision (ICD-10) Implementation and the Elimination of Provider Electronic Solutions (PES) (November 25, 2013)
Temporary Deferment of Affordable Care Act Provider Enrollment Requirement for Residents Serving HUSKY Clients (November 19, 2013)
Updated Fee Schedule for Influenza Virus Vaccines (November 19, 2013)
Increase in Hospice Rates (November 13, 2013)
Incorporation of the January 2013 HCPCS Changes (November 13, 2013)
MEDS Fee Schedule Revisions and Clarification Pertaining to Repairs of Competitive Bid Items (November 5, 2013)
Incorporation of the 2013 Healthcare Common Procedure Coding System (HCPCS) Changes (November 5, 2013)
Implementation of Affordable Care Act Mandate: Prior Authorization of Inpatient, Outpatient and Professional Services – OPR Requirement (November 5, 2013)
Enhanced Editing of Attending Provider NPI Number (November 5, 2013)
Important Claim Processing Update (October 10, 2013)

The Implementation of the Ordering, Prescribing, and Referring (OPR) Claim Edits:

The Implementation of the OPR Claim Edits (October 8, 2013)
The Implementation of the OPR Claim Edits 2 (October 8, 2013)
The Implementation of the OPR Claim Edits 3 (October 8, 2013)

The Implementation of New Claim Billing Requirements and the Ordering, Prescribing, and Referring (OPR) Claim Edits:

The Implementation of New Claim Billing Requirements and the OPR Claim Edits (October 8, 2013)
The Implementation of New Claim Billing Requirements and the OPR Claim Edits Edits 2 (October 8, 2013)

Delay of Outpatient Surgery Initiative (October 8, 2013)
Enhanced Editing of Prescribing Provider NPI Numbers (September 25, 2013)
Client Notification Regarding the Use of A One-Time, 14-day Prior Authorization (September 25, 2013)
New Requirement for Prior Authorization of Incisional and Ventral Hernia Repairs (August 23, 2013)
Claims for Outpatient Surgery and Pathology Lab Services (August 23, 2013)
Updated Fee Schedule for Ambulatory Surgery Centers (August 23, 2013)
Modifier 25 No Longer Required To Bypass NCCI Edit (August 23, 2013)
Obstetrics Pay for Performance Program (August 5, 2013)
Change to Diagnosis Requirements for Medicare Part B Cost Avoidance Associated with Enteral Nutrition (July 26, 2013)
Clarification of New Diagnosis Requirement for Prevacid Solutab Coverage for Clients Over the Age of 20 (July 26, 2013)
Reimbursement Methodology for Services Rendered by Physician Assistants (July 26, 2013)
Electroconvulsive Therapy Prior Authorization Changes (July 16, 2013)
State-Funded Coverage for Independent Chiropractic Services for Adults (July 16, 2013)
Implementation of Enhanced Payments for Primary Care Services – Update (July 3, 2013)
Coverage of Condoms and Spermicide under Medicaid and Family Planning – Limited Benefit (June 27, 2013)
Implementation of Affordable Care Act Claim Edits (June 27, 2013)
Important Connecticut Home Care Online Enrollment Notification, Claim Submission and Other Program Changes (June 27, 2013)
Overpayments for Clinical Laboratory Services (June 27, 2013)
July 1, 2013 Changes to the Connecticut Medicaid Preferred Drug List (PDL) / Reminder About the 5 day Emergency Supply / Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 27, 2013)
Maximum Allowable Cost (MAC) Pricing and Web site Postings (June 7, 2013)
Non-Emergency Medical Transportation (Nemt) Spend Down Policy Clarification (May 31, 2013)
Independent Audiology and Speech and Language Pathology Fee Schedule Update (May 31, 2013)
New Prior Authorization Criteria for Proton Pump Inhibitors (PPIs) (May 24, 2013)
Important Connecticut Home Care Online Enrollment Notification, Claim Submission and Other Program Changes (May 20, 2013)
Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (May 20, 2013)
Implementation of Affordable Care Act Claim Edits (May 15, 2013)
Psychotherapy Prior Authorization Changes (May 13, 2013)
Clarification: Updated MEDS Fee Schedule and Reimbursement (April 26, 2013)
Children’s Behavioral Health Rehabilitation Billing Procedures (April 26, 2013)
Change in Professional Fee (Dispensing Fee) (April 26, 2013)
Change in Methodology for Measurement of Access Standard (April 16, 2013)
Important CHC Provider Enrollment and Claim Submission Changes (April 16, 2013)
Prior Authorization Requirements – Independent Chiropractic Services (April 11, 2013)
Transition to the Updated ADA 2012 J434 Dental Claim Form (April 11, 2013)
Requirements for Payment of Services Provided by Physicians (April 11, 2013)
Procedure Codes Excluded from Applied Income (April 11, 2013)
Updated Medical Transportation Fee Schedule (March 25, 2013)
Transportation Billing Update (March 25, 2013)
RCC Crosswalk to New Psychiatric Procedure Codes for 2013 (March 20, 2013)
Non-Emergency Ambulance Coverage For HUSKY B and Charter Oak Clients (March 20, 2013)
Electronic Funds Transfer Change Notification (March 20, 2013)
Public Act 12-1 Reporting Requirements (February 6, 2013)
Elimination of Paper Re-enrollment Applications (February 5, 2013)
Updated MEDS Fee Schedule and Reimbursement (February 5, 2013)
Elimination of Independent Chiropractic Services (February 5, 2013)
Connecticut Medicaid Electronic Health Record (EHR) Incentive Program – Financial incentives for electronic health record adoption and meaningful use. (January 30, 2013)
Enhanced Payments for Primary Care Services (January 30, 2013)
National Correct Coding Initiative (NCCI) Edit (January 30, 2013)
Updated Medical Transportation Fee Schedule (January 18, 2013)
Change in Hospice Rates (January 18, 2013)
School Based Child Health Service Providers Re-enrollment process in the Connecticut Medical Assistance Program (January 10, 2013)
State Funded Home Care Program for Elders (January 10, 2013)
Behavioral Health Clinician Fee Schedule Update (January 10, 2013)

Incorporation of January 2013 Healthcare Common Procedure Coding System (HCPCS):

Incorporation of January 2013 HCPCS (January 10, 2013)
Incorporation of January 2013 HCPCS 2 (January 10, 2013)
Incorporation of January 2013 HCPCS 3 (January 10, 2013)
Incorporation of January 2013 HCPCS 4 (January 10, 2013)
Additional Modifiers, Psychotherapy Changes for 2013 and ACA Increased Payments for Medicaid Primary Care Services
Incorporation of January 2013 HCPCS 5 (January 10, 2013)

Change in Professional Fee (Dispensing Fee) (January 4, 2013)
Changes to the Connecticut Medicaid Preferred Drug List (PDL) (January 4, 2013)

2012 Provider Updates

Medicare D Coverage of Benzodiazepines and Barbiturates (December 20, 2012)
Consolidated Laboratory Fee Schedule Update (December 18, 2012)
Certificate of Need Requirement for Inpatient Admissions for Individuals Under the Age of 21 (December 13, 2012)
Performing Provider Enrollment Requirements for Nursing Homes, Home Health, Radiology and State Agencies in the Medicaid Program (December 7, 2012)
Florida Prescriber’s DEA License Suspension (December 7, 2012)
MEDS - Fee Schedule Changes for HCPCS E0445, E0770 and S1040 (December 7, 2012)
State Funded Coverage for Chiropractic Services (November 20, 2012)
Expansion of Medicaid Prescription Vouchers for Individuals Released from Correctional Institutions or Through the Courts (November 1, 2012)
Enhanced Care Clinic Access Requirements Clarification (October 23, 2012)
CT BHP Extended Day Treatment (EDT) Reimbursement Rate Increase for HUSKY Members (October 23, 2012)
Enhanced Care Clinic Surveys (October 23, 2012)
Drug and Alcohol Abuse Center Fee Schedule Update (October 22, 2012)
Important Changes to Provider Enrollment (October 22, 2012)
Important Changes to Provider Re-enrollment (October 22, 2012)
Fee Schedule Update for Behavioral Health Services (October 22, 2012)
Availability of Pharmacy Prior Authorization (PA) Forms (October 19, 2012)
Requirements for Payment to Birth Centers (October 19, 2012)
Physician Fee Schedule – Reimbursement Updates for Obstetrical Delivery Procedures Codes (October 11, 2012)
Change of Dental Fee Payment for Dentures and Resin Fillings (October 11, 2012)
Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (October 5, 2012)
Change of Dental Benefit Assignment by Dental Provider to Benefit Assignment by Client (October 3, 2012)
National Correct Coding Initiative (NCCI) New Medicaid-Only Procedure to Procedure (PTP) Edits Relating to Wheelchairs (October 3, 2012)
Client Notification Regarding the Use of A One-Time, 14-day Prior Authorization (October 3, 2012)
Expansion of the NCPDP Response Segment to Support NCPDP D.0 Reject Codes (October 3, 2012)
New Medicaid (HUSKY) Spend-down Procedures (September 21, 2012)
Open Forum on Adopt/Implement/Upgrade (AIU) Attestation (September 12, 2012)
Open Forum on Meaningful Use (September 12, 2012)
Provider Data Verification Online Survey available starting August 20, 2012 (August 15, 2012)
Ophthalmologists, Optometrists, Opticians, and Dental Providers Web Portal Claim History Inquiry (August 14, 2012)
Meaningful Use Attestation Available for Connecticut Medicaid EHR Incentive Program (July 27, 2012)
New Personal Care Agency (PCA) Per Diem and PCA Overnight Procedure Codes (July 20, 2012)
Changes to Prior Authorization Process for Outpatient Surgery (July 2, 2012)
Hospital Inpatient Services (June 26, 2012)
Changes to the Connecticut Medicaid Preferred Drug List (PDL), Reminder About the 5 day Emergency Supply, Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) and New MAC Pricing Inquiry Worksheet (June 19, 2012)
Change in Procedures for Brand Medically Necessary Pharmacy Prior Authorizations (June 14, 2012)
Consolidated Laboratory Fee Schedule Update (June 8, 2012)
Changes to Prior Authorization Process for Laboratory Procedures and Outpatient Surgery (June 5, 2012)
Authorization Portal for Requesting MEDS (June 5, 2012)
Changes to Authorization Process and New Authorization Portal for Requesting Rehabilitation Therapy (June 5, 2012)
Payment Error Rate Measurement (PERM) Program Audit Requests (May 16, 2012)
Changes to Request Process for Vision Care that Require Prior Authorization (May 11, 2012)
Physician Signature on the CMS-485, Home Health Certification and Plan of Care (May 2, 2012)
Update Concerning Prior Authorization (PA) Requests for Repairs to Prosthetics (May 1, 2012)
Authorization Portal for Medical Admissions (April 17, 2012)
Important Changes to Radiology Services (April 11, 2012)
Other Provider Preventable Conditions (OPPCs) Reporting Requirements (April 11, 2012)
Physician Fee Schedule Updates: Updated fees for Psychiatric and Selected Adult Medical Services (April 5, 2012)
Behavioral Health Clinician Coverage for Individuals Under Age 21 in Fee-For-Service Medicaid (HUSKY C) and Medicaid for Low Income Adults (HUSKY D) (April 5, 2012)
Behavioral Health Clinician Fee Schedule Update (April 5, 2012)
Clarification of Billing Requirements for Medications Covered by Medicare Part D and Medicare Part B Including Additional Third Party Insurance (April 5, 2012)
Authorization Portal for Requesting Medical Home Care Services (Mar. 28, 2012)
Authorization Portal for Requesting Outpatient Hospital Rehabilitation Therapy (Mar. 28, 2012)
Transition from Revenue Center Code 513 to More Precise Coding for Hospital Outpatient Psychiatric Services (Mar. 28, 2012)
Enhanced Editing of Prescribing Provider NPI Numbers (Mar. 20, 2012)
New Family Planning Coverage Group: Family Planning Services - Limited Benefit (Mar. 8, 2012)
Consolidated Laboratory Fee Schedule Update (Mar. 8, 2012)
New Physician Specialties for the Connecticut Medical Assistance Program (Mar. 8, 2012)
Updated MEDS Fee Schedule and Reimbursement (Mar. 8, 2012)
Independent Radiology Fee Schedule: 2012 Healthcare Common Procedure Coding System (HCPCS) Changes (Mar. 8, 2012)
Presumptive Eligibility Certification and Guarantee of Payment Form, W-538 (Mar. 8, 2012)
Direct Billing of Clients for Medicaid Covered Addiction Services and Billing for Addiction-Related Laboratory Services (Feb. 7, 2012)
Instructions for Mass Load of Performing Providers (Feb. 7, 2012)

2011 Provider Updates

Provider Enrollment Requirements for Hospitals and Clinics in the Medicaid Program (Nov. 30, 2011)
Global Billing of Obstetric Care (Nov. 14, 2011)
Changes Regarding the New HUSKY Health Program (Oct. 10, 2011)
DSS Announces the New HUSKY Health Program (October 2011)

This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc., the State of Connecticut’s Medical Administrative Services Organization for the HUSKY Health Program. For the general HUSKY website gateway, please visit www.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services.