MedicaidReimbursementMedium impact
2025.82 - Updating Physician Administered Drugs on Select Fee Schedules
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +3 more·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid will update reimbursement rates for physician-administered drugs, immune globulins, vaccines, and toxoids to 100% of the January 2026 Medicare Average Sales Price (ASP) Drug Pricing file. This affects behavioral health, dialysis, family planning, medical clinics, and substance use disorder treatment facilities.
Action Required
By January 1, 2026: Billing team must download updated fee schedules from www.ctdssmap.com under Provider > Provider Fee Schedule Download. Review new reimbursement rates for physician-administered drugs, vaccines, and immune globulins. Update billing system with new rates based on January 2026 Medicare ASP pricing. Continue following PB 2018-10 guidelines for billing physician-administered drugs.