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MedicaidReimbursementMedium impact

2024.75 - Provider Bulletin - January 2025 Quarterly HIPAA Compliant Update – Dialysis Clinic & Physician Administered Drugs Fee Schedule

Connecticut Medicaid (HUSKY Health)·CT · Nephrology·Reimbursement
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is updating dialysis clinic fee schedules for 2025 HCPCS code changes and revising physician-administered drug reimbursement rates to match 100% of Medicare's January 2025 Average Sales Price (ASP) file.

Action Required

Action needed
By January 1, 2025: Billing team must download updated dialysis clinic fee schedule from www.ctdssmap.com and update billing system with new 2025 HCPCS codes and revised reimbursement rates for physician-administered drugs. Contact Provider Assistance Center at 1-800-842-8440 for technical assistance accessing fee schedules.