MedicaidReimbursementMedium impact
2021-110 Updates to the Reimbursement for Physician - Administered Drugs pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is updating reimbursement rates for physician-administered drugs, immune globulins, vaccines, and toxoids to 100% of Medicare's January 2022 Average Sales Price (ASP) effective January 1, 2022. Providers must continue to include the complete 11-digit National Drug Code (NDC) on all claims to avoid denials or incorrect reimbursement.
Action Required
By January 1, 2022: Billing team must download the updated fee schedule from www.ctdssmap.com (Provider > Provider Fee Schedule Download > Clinic - Family Planning / Abortion fee schedule) and update billing system with new reimbursement rates for physician-administered drugs, immune globulins, vaccines, and toxoids. Ensure all claims include the complete 11-digit NDC to avoid denials or incorrect payment.