MedicaidBilling CodesMedium impact
2024.74 - Provider Bulletin - Drugs for Family Planning, Medical & Behavioral Health Clinics Fee Schedules
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +2 more·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is updating fee schedules for family planning, medical, and behavioral health clinics effective January 1, 2025, incorporating new HCPCS codes for HIPAA compliance and updating physician-administered drug reimbursement rates to match Medicare ASP pricing at 100%.
Action Required
By January 1, 2025: Billing teams at family planning, medical, and behavioral health clinics must download updated fee schedules from www.ctdssmap.com under Provider > Provider Fee Schedule Download. Review and update billing systems with new HCPCS codes and revised reimbursement rates for physician-administered drugs, vaccines, and immune globulins. Verify drug pricing matches 100% of Medicare ASP rates.