MedicaidBilling CodesMedium impact
2024.72 - Provider Bulletin - January 2025 Quarterly HIPAA Updates -Physician - Office - Outpatient - Surgery Fee Schedules
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +25 more·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is implementing quarterly HIPAA updates to physician office, outpatient, and surgery fee schedules effective January 1, 2025, incorporating new HCPCS code changes and updating physician-administered drug reimbursement to 100% of Medicare ASP pricing.
Action Required
By January 1, 2025: Billing team must download updated fee schedules from www.ctdssmap.com (Provider > Provider Fee Schedule Download) to ensure compliance with new HCPCS code changes for Connecticut Medicaid patients. Monitor for separate bulletin updating telehealth audio-only and audio/visual procedure codes. Review physician-administered drug billing against new 100% Medicare ASP rates and reference PB 18-10 for drug billing methodology.