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MedicaidReimbursementMedium impact

Physician Office and Outpatient Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, OB-GYN +1 more·Reimbursement
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid updated their physician fee schedule effective October 1, 2022, increasing reimbursement for etonogestrel contraceptive implants from $1,030.64 to $1,092.48 and adding new billing codes for monkeypox vaccinations. The policy also incorporates quarterly HCPCS code updates to maintain HIPAA compliance.

Action Required

Action needed
Immediately: Billing team must update fee schedules in billing system to reflect new J7307 reimbursement rate of $1,092.48 for Connecticut Medicaid patients. Add new monkeypox vaccine codes 90611 and 90622 to system but only bill when vaccines are commercially purchased (not when obtained free from CT Department of Public Health). Note that no separate administration codes exist for monkeypox vaccines - administration is included in E/M visit reimbursement.

Affected Billing Codes

J7307
90622
90611