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Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Medicare Part D co-pays for dual eligible HUSKY Low Income Subsidy clients are increasing effective January 1, 2020 - generic drugs from $3.40 to $3.60 and all other drugs from $8.50 to $8.95. All Medicare Part D claims must be submitted to DXC Technology for processing to track the $17 monthly co-pay cap, and claims with co-pays over $8.95 will be automatically denied.
Action Required
By January 1, 2020: Pharmacy staff must submit ALL Medicare Part D claims for dual eligible HUSKY clients to DXC Technology for processing (cannot track co-pays independently). Update billing system to reject co-pay only claims over $8.95 - these must be resolved with the PDP first. Ensure Other Coverage Code 8 and Carrier Code MDD are used for Medicare D co-pay-only claims.