Traditional MedicareReimbursementMedium impact
Medicare Part D Co-pays for Dual Eligible HUSKY Clients pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Medicare Part D co-pays for dual eligible HUSKY clients are increasing effective January 1, 2021. Generic drug co-pays increase from $3.60 to $3.70, and all other drugs increase from $8.95 to $9.20. A new edit will deny claims with co-pays greater than $9.20.
Action Required
By January 1, 2021: Pharmacy billing staff must update systems to reflect new Medicare Part D co-pay amounts ($3.70 for generics, $9.20 for other drugs). Ensure all Medicare Part D claims for dual eligible HUSKY clients are submitted to DXC Technology with Other Coverage Code 8 and Carrier Code MDD. Do not manually calculate client co-pays - claims with co-pays over $9.20 will be denied with error message.