MedicaidReimbursementMedium impact
Updates to the Reimbursement for Physician-Administered Drugs-Immune Globulins-Vaccines and Toxoids pdf
Connecticut Medicaid (HUSKY Health)·CT · Nephrology·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. This policy specifically applies to freestanding dialysis clinics and requires continued use of 11-digit NDC codes on all claims.
Action Required
Immediately: Dialysis clinic billing teams must download the updated fee schedule from www.ctdssmap.com under Provider Fee Schedule Download. Verify all claims for physician-administered drugs, immune globulins, vaccines, and toxoids include the complete 11-digit NDC code to prevent denials or incorrect reimbursement. Contact Provider Assistance Center at 1-800-842-8440 for billing questions.