Connecticut Medicaid Other Services Fee Schedule 2026

Connecticut Medicaid publishes 138 other services procedure rates effective 2026, paying a median 107.7% of the national Medicare amount for the same services. This page shows published rates for common other services 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 other services schedule has 138 codes.

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Published codes

138

Other Services procedures on the 2026 schedule

Median % of Medicare

107.7%

vs national Medicare, GPCI-neutral

PA required

32

codes flagged by the state

Common other services procedures and what Connecticut Medicaid pays

A curated sample of recognizable procedures from the 138-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
T2021Day habilitation, waiver; per 15 minutes$5.51--

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

Other Services rates in neighboring states

Frequently asked questions

What does Connecticut Medicaid pay for other covered services?

Connecticut Medicaid publishes 138 other services procedure rates effective 2026, paying a median 107.7% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. 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 other services rates compare with Medicare?

Across other services codes with a national Medicare comparator, Connecticut Medicaid pays a median 107.7% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.

Do other services services need prior authorization in Connecticut?

Connecticut publishes prior-authorization flags on its schedule: 32 other services 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.

Get an email the next time Connecticut changes these rates.