MedicaidBilling CodesMedium impact
Quarterly HIPAA Compliant Update - Physician Office and Outpatient Fee Schedule and Vaccines pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, Pediatrics +1 more·Reimbursement
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) added three new vaccine codes to their physician office fee schedule effective July 1, 2021, and updated HCPCS codes for HIPAA compliance. The new vaccine codes have specific reimbursement rules based on eligibility for the Connecticut Vaccine Program.
Action Required
For Connecticut providers billing HUSKY Health: Update billing system to include new vaccine codes 90694, 90619, and 90697. Ensure all vaccine claims include the standard 11-digit NDC number to avoid denials. Verify patient eligibility for Connecticut Vaccine Program before billing codes 90619 and 90697 - claims will be denied if patient is CVP-eligible since vaccine is provided free. Download updated fee schedule from www.ctdssmap.com.