MedicaidBilling CodesMedium impact
2026.17 - April 2026 Quarterly HIPAA Compliant Update - Physician Office and Outpatient Fee Schedule; 2) Adding New Moderna COVID-19 Vaccine
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Apr 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has added new CPT code 91323 for Moderna COVID-19 vaccine with reimbursement rate of $201.91, effective April 1, 2026. The policy also incorporates April 2026 HCPCS updates to maintain HIPAA compliance for physician office and outpatient services.
Action Required
By April 1, 2026: Billing team must update fee schedules to include CPT code 91323 (Moderna COVID-19 vaccine) with reimbursement rate $201.91 for HUSKY Health members ages 19 and older. Download updated fee schedule from www.ctdssmap.com under Provider Fee Schedule Download. Verify age eligibility before billing - pediatric vaccines (ages 6 months-18 years) must use CT Vaccine Program and only administration codes are reimbursable.