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MedicaidReimbursementMedium impact

22023.71 Provider Bulletin - January 2024 Quarterly Updates - Physician - Office - Surgery & Outpatient Fee Schedules pdf

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is implementing January 2024 HCPCS code updates, updating physician-administered drug rates to 100% of Medicare ASP pricing, and increasing ParaGard IUD reimbursement from $1025 to $1085. These changes affect all services under HUSKY Health programs A, B, C, and D.

Action Required

Action needed
By January 1, 2024: Billing team must download updated fee schedules from www.ctdssmap.com and update billing system with new HCPCS codes and rates. Update ParaGard IUD (J7300) reimbursement rate to $1085. Review physician-administered drug rates updated to 100% Medicare ASP. Refer to Provider Bulletin PB 18-10 for drug billing guidance.

Affected Billing Codes

J7300