MedicaidReimbursementMedium impact
2020 Rates for Physician Office - Outpatient – Surgical pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, OB-GYN +1 more·Reimbursement
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) updated fee schedules for 2020 with new HCPCS codes, revised physician-administered drug rates to 100% of Medicare ASP pricing, and changed billing requirements for Mifepristone and Misoprostol to require 11-digit NDC codes on claims.
Action Required
By January 1, 2020: Billing team must update systems with 2020 HCPCS code changes from ctdssmap.com fee schedules. For S0190 (Mifepristone) and S0191 (Misoprostol) claims, include 11-digit NDC code on all claims to avoid denials or incorrect reimbursement. Use NDC from container unless multiple unit packages are dispensed individually.