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MedicaidReimbursementMedium impact

Adding Ocrelizumab to the Office and Outpatient Fee Schedule pdf

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

Summary

Connecticut Medicaid has added HCPCS code J2350 (Ocrelizumab) to their physician office and outpatient fee schedule with a reimbursement rate of $57.42. Providers must include the 11-digit NDC number on all claims for physician-administered drugs to avoid denials.

Action Required

Action needed
Effective March 1, 2020: Billing team must update fee schedules to include J2350 (Ocrelizumab) at $57.42 reimbursement rate for Connecticut Medicaid patients. Ensure all claims for physician-administered drugs include the HIPAA standard 11-digit NDC number to avoid denials or incorrect reimbursement. Reference Chapter 8 on www.ctdssmap.com for NDC formatting instructions.

Affected Billing Codes

J2350