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MedicaidBilling CodesMedium impact

Quarterly Medical Clinic Fee Schedule & Vaccines to the Medical Clinic Fee Schedule pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Reimbursement
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) has updated their medical clinic fee schedule with quarterly HCPCS code changes and added two new vaccine codes (90619 and 90697) for Menacwy-tt and Dtap-ipv-hib-hepb vaccines. These vaccines will be reimbursed based on NDC pricing when patients are not eligible for the state's free vaccine program.

Action Required

Action needed
Effective July 1, 2021: Billing team must add vaccine codes 90619 and 90697 to fee schedule and ensure all claims include the standard 11-digit NDC code to avoid denials or incorrect reimbursement. Verify patient eligibility for Connecticut Vaccine Program (CVP) before billing - claims will be denied if patient is CVP-eligible since vaccines are provided free by Department of Public Health.

Affected Billing Codes

90619
90697