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MedicaidReimbursementMedium impact

COVID-19 Vaccine Administration pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
Effective date
Dec 11, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) will reimburse COVID-19 vaccine administration by pharmacists, pharmacy interns, and pharmacy technicians at 100% of Medicare rates. Different reimbursement amounts apply for single-dose vaccines ($28.39) versus two-dose vaccines ($16.94 first dose, $28.39 second dose).

Action Required

Action needed
For Connecticut providers billing HUSKY Health: Update billing system to submit COVID-19 vaccine administration claims with $0.01 ingredient cost and appropriate NCPDP Submission Clarification Codes (420-DK): Code 2 for first dose of two-dose vaccines, Code 6 for second dose of two-dose vaccines or single-dose vaccines. Ensure pharmacy (not individual pharmacist) is set as billing entity.