Traditional MedicareReimbursementMedium impact
2023.66 Provider Bulletin - Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Medicare Part D co-payment amounts for dual eligible HUSKY clients are increasing effective January 1, 2024. Generic drug co-pays increase from $4.15 to $4.50, and all other drugs increase from $10.35 to $11.20, with clients remaining responsible for the first $17 per month.
Action Required
By January 1, 2024: Pharmacy billing team must update billing systems to reflect new Medicare Part D co-pay amounts ($4.50 for generics, $11.20 for other drugs) for dual eligible HUSKY clients. Configure system to reject co-pay only claims greater than $11.20 and ensure all Medicare Part D claims are submitted to Gainwell Technologies for proper tracking of the $17 monthly maximum. Update staff training on new co-pay limits to prevent patient overcharges.