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MedicaidReimbursementMedium impact

Reimbursement Increase for ParaGard LARC & Physician Administered Drugs pdf

Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid increased reimbursement for ParaGard IUD (J7300) to $297.57 effective January 1, 2023, and updated physician-administered drug rates to 100% of Medicare ASP pricing. These changes apply to all HUSKY Health programs and Family Planning-Limited Benefit program.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system to reflect new J7300 rate of $297.57 for ParaGard IUD insertions and update physician-administered drug rates to January 2023 Medicare ASP pricing. Download updated fee schedule from www.ctdssmap.com under Provider Fee Schedule Download section.

Affected Billing Codes

J7300