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Updates to Physician Administered Drugs and Reimbursement Rates pdf

Connecticut Medicaid (HUSKY Health)·CT · Oncology, Neurology, Radiology +1 more·Reimbursement
Effective date
Sep 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) has updated physician-administered drug codes, replacing J9199 (infugem 200mg) with J9198 (infugem 100mg), added new remote device monitoring code G2066, and established specific reimbursement rates for previously manually-priced EEG and proton treatment codes. All changes are effective September 1, 2020, with rates set at 57.5% of Medicare physician fee schedule.

Action Required

Action needed
Billing team must update system to discontinue J9199 (infugem 200mg) and begin using J9198 (infugem 100mg) for Connecticut Medicaid patients. Replace discontinued code 93299 with G2066 for remote device evaluations. Update fee schedules with new HUSKY reimbursement rates for EEG codes (95700-95716) and proton treatment codes (77520-77525). Download updated fee schedules from www.ctdssmap.com.

Affected Billing Codes

J9199
J9198
G2066
93299
77520
77522
77523
77525
95700
95705
95706
95707
95708
95709
95710
95711
95712
95713
95714
95715
95716