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Jan 2021 Physician - OV - Outpatient - Surgical Fee Schedules pdf

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

Summary

Connecticut Medicaid (HUSKY Health) updated their physician fee schedules effective January 1, 2021, incorporating 2021 HCPCS changes and adding prolonged service code 99417. The policy also updates evaluation and management service descriptions and revises physician-administered drug reimbursement rates to 100% of Medicare ASP.

Action Required

Action needed
Effective January 1, 2021: Billing team must download updated Connecticut Medicaid fee schedules from www.ctdssmap.com and update billing system with new codes and rates. Add CPT 99417 for prolonged E&M services, ensuring only direct patient contact time is counted. Review updated E&M code descriptions (99202-99215) and verify physician-administered drug rates reflect 100% of January 2021 Medicare ASP. Contact Provider Assistance Center at 1-800-842-8440 for billing questions.

Affected Billing Codes

99417
99202
99203
99204
99205
99211
99212
99213
99214
99215