Connecticut Medicaid Fee Schedule

Connecticut Medical Assistance Program (HUSKY Health), published by the Connecticut Department of Social Services (DSS). Schedules effective through Jul 2026.

Connecticut publishes 12,028 Medicaid fee-for-service rates across 9 service categories. An established-patient office visit (99213) pays $85.08, a two-view chest X-ray (71046) $26.42 and a CPAP device (E0601) $381.50. Pooled across categories with a national Medicare comparator, Connecticut's published rates run a median 68.2% of the Medicare amount, ranking 44 of 49 jurisdictions with a comparable basis.

Every state, kept current

The Rates plan

$29/mo7-day free trial

These pages show common-procedure samples per category. The complete all-codes Connecticut schedules export as CSV with the Rates plan.

  • Every code on all 51 published schedules
  • Full-schedule CSV export and state network lists
  • Email alerts when a state changes its rates
Start free trial

$29/mo after the trial. Cancel anytime.

Connecticut's published schedules by category

Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.

CategoryCodesEffectiveMedian % of MedicareExample ratePA required
Physician6,729Jul 202667.5%$85.08 Office visit, established patient, low complexity (20-29 min) (99213)282
Lab & Imaging2,170Jul 202685.5%$26.42 Chest X-ray, 2 views (71046)405
DME & Supplies1,951Jul 202659.7%$381.50 Continuous positive airway pressure (cpap) device (E0601)737
Drugs782Jul 2026----8
Vision146Jan 202647.5%$91.24 Eye exam, new patient, comprehensive (92004)--
Behavioral Health70Jul 202686%$145.17 Psychotherapy, 60 minutes (90837)18
Transport12Jul 2024--$220.44 Ambulance service, basic life support, non-emergency transport, (bls) (A0428)--
LTSS / Waiver31Jan 2026------
State-Specific Services137Jul 2026107.7%--32
DentalConnecticut's dental Medicaid rates live in the dental section, with their own per-state page.

Connecticut also publishes 1 anesthesia code (Jul 2026), 37 hearing codes (Mar 2019), too few or too old to summarize here.

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.

Where Connecticut publishes its fee schedules

Publisher
Connecticut Department of Social Services (DSS)
Program
Connecticut Medical Assistance Program (HUSKY Health)
Official source
https://www.ctdssmap.com/ctportal/provider/provider-fee-schedule-download
Last checked
Aug 21, 2026

ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.

The Rates plan$29/mo7-day free trial

These are common-procedure samples. The complete Connecticut schedules, every category and every code, export as CSV on the Rates plan.

Compare Connecticut nationally

Frequently asked questions

Does Connecticut publish a Medicaid fee schedule?

Yes. Connecticut publishes 12,028 Medicaid fee-for-service procedure rates across 9 service categories, effective through Jul 2026, all collected and normalized here with plain-language procedure names. Connecticut Department of Social Services (DSS) publishes Connecticut's Medicaid fee schedules for Connecticut Medical Assistance Program (HUSKY Health).

Who publishes Connecticut's Medicaid fee schedule?

Connecticut Department of Social Services (DSS) publishes Connecticut's Medicaid fee schedules for Connecticut Medical Assistance Program (HUSKY Health). The state's own fee-schedule page is https://www.ctdssmap.com/ctportal/provider/provider-fee-schedule-download. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 21, 2026).

What does Connecticut Medicaid pay for common services?

An established-patient office visit (99213) pays $85.08, a two-view chest X-ray (71046) $26.42 and a CPAP device (E0601) $381.50. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.

How do Connecticut's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Connecticut's published rates run a median 68.2% of the Medicare amount, ranking 44 of 49 jurisdictions with a comparable basis.

What service categories does Connecticut publish?

Physician (6,729 codes), Lab & Imaging (2,170 codes), DME & Supplies (1,951 codes), Drugs (782 codes), Vision (146 codes), Behavioral Health (70 codes), Transport (12 codes), LTSS / Waiver (31 codes), State-Specific Services (137 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Connecticut's currently published fee schedules, the newest effective Jul 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.