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Billing of Influenza Vaccines for the 2019-2020 Influenza Season pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medical Assistance Program (CMAP) requires exact matching between 11-digit NDC numbers and HCPCS codes when billing influenza vaccines for 2019-2020 season. Claims will be denied if the NDC does not correspond to the correct HCPCS code on the same claim detail.
Action Required
Immediately: Billing team must verify that all influenza vaccine claims submitted to Connecticut Medicaid have matching NDC numbers and HCPCS codes. Cross-reference vaccine NDCs against current 2019-2020 flu season HCPCS codes using provided resources before claim submission. Update billing system validation rules to check NDC-HCPCS correspondence. Do not bill administration fees for vaccines obtained free through Connecticut Vaccine Program.