Bill > SB00162

This bill proposes to amend Connecticut's Medicaid payment rates for durable medical equipment, orthotics, prosthetics, supplies, and complex rehabilitation technology to ensure more equitable compensation for providers. Specifically, the bill establishes four key provisions: first, Medicaid payment rates will be set at 100% of the corresponding non-rural Medicare payment rates within the state; second, these rates will receive an annual increase matching the consumer price index for urban consumers; third, for equipment covered by Medicaid but not Medicare, providers will receive a one-time 15.3% rate increase, with subsequent annual increases tied to the consumer price index; and fourth, for equipment without established Medicaid or Medicare reimbursement rates, payment will be set at either 90% of the manufacturer's suggested retail price or 45% above the minimum invoice cost if no suggested retail price exists. The overall goal is to ensure that providers of medical equipment and technology are fairly compensated for their services and products, helping to maintain access to necessary medical supplies and technologies for Medicaid recipients.

Health and Social Services

https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00162&which_year=2025