MedicaidBilling CodesHigh impact
Hospital Monthly Important Message - 01.19.2026
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has updated multiple fee schedules and billing parameters effective January 1, 2026, including new HCPCS codes, updated DRG weights, new procedure code J0013 for Spravato, and changes to prior authorization requirements for therapy services and radiology.
Action Required
Immediately: Download updated CMAP Addendum B V27.0 from www.ctdssmap.com when available. Update billing system with new procedure code J0013 for Esketamine nasal spray (Spravato). Review and implement updated DRG weights and APC payment rates for status indicators G and K. Update prior authorization workflows for therapy services for patients with intellectual disability, developmental delay, or autism. Verify inpatient elective authorization dates with CHNCT at 1-800-440-5071 to prevent claim denials.