Connecticut Medicaid DME & Supplies Fee Schedule 2026

Connecticut Medicaid publishes 1,951 dme & supplies procedure rates effective 2026, paying a median 59.7% of the national Medicare amount for the same services. This page shows published rates for common dme & supplies procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Connecticut dme & supplies schedule has 1,951 codes.

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Published codes

1,951

DME & Supplies procedures on the 2026 schedule

Median % of Medicare

59.7%

vs national Medicare, GPCI-neutral

PA required

737

codes flagged by the state

Common dme & supplies procedures and what Connecticut Medicaid pays

A curated sample of recognizable procedures from the 1,951-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureConnecticut rate% of Medicare
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips$8.32100%
A7030Full face mask used with positive airway pressure device, each$88.4975.5%
E0114Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips$38.1059.4%
E0143Walker, folding, wheeled, adjustable or fixed height$42.5667.8%
E0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)$1,011.90--
E0601Continuous positive airway pressure (cpap) device$381.50--
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate$69.62*--
E2402Negative pressure wound therapy electrical pump, stationary or portable$4,500.00--
K0001Standard wheelchair$187.10--
K0003Lightweight wheelchair$274.80--
L3908Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf$49.5663.4%

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. Rows marked * show the schedule's representative published variant.

More Connecticut Medicaid fee schedules

DME & Supplies rates in neighboring states

Frequently asked questions

What does Connecticut Medicaid pay for durable medical equipment and supplies?

Connecticut Medicaid publishes 1,951 dme & supplies procedure rates effective 2026, paying a median 59.7% of the national Medicare amount for the same services. The schedule covers wheelchairs, CPAP devices, oxygen equipment, orthotics, prosthetics, and diabetic supplies. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Connecticut's dme & supplies rates compare with Medicare?

Across dme & supplies codes with a national Medicare comparator, Connecticut Medicaid pays a median 59.7% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do dme & supplies services need prior authorization in Connecticut?

Connecticut publishes prior-authorization flags on its schedule: 737 dme & supplies codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.

Where do these rates come from?

Directly from Connecticut's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.

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