MedicaidBilling CodesMedium impact
DSS Important Message - Monkeypox Testing and Vaccines in the Outpatient Hospital Setting pdf
Connecticut Medicaid (HUSKY Health)·CT · Infectious Disease, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) has clarified billing rules for monkeypox testing and vaccines in outpatient hospitals. Key changes: only bill for commercially purchased tests/vaccines (not free ones), no separate administration codes exist for monkeypox vaccines, and vaccine administration is included in E/M visit reimbursement.
Action Required
Immediately: Billing team must update system rules to only bill monkeypox testing (87593) and vaccines (90622, 90611) to Connecticut Medicaid when commercially purchased - never when obtained free. Remove any monkeypox vaccine administration codes from billing templates. Educate providers that vaccine administration is included in E/M visits, not separately billable.