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MedicaidReimbursementMedium impact

2019 HIPAA Compliant Updates - Physician Office and Outpatient Radiology and Surgical Fee Schedules and Updates to Rates for Physician Administered Drugs pdf

Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +24 more·Reimbursement
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid updated their fee schedules with 2019 HCPCS code changes and revised physician-administered drug reimbursement rates to 100% of Medicare's Average Sales Price effective January 1, 2019. Providers must download updated fee schedules from the state website.

Action Required

Action needed
Immediately: Billing team must download updated fee schedules from www.ctdssmap.com (Provider > Provider Fee Schedule Download). Update billing system with new 2019 HCPCS codes and revised physician-administered drug rates equal to 100% of January 2019 Medicare ASP. Review PB 18-10 for detailed drug reimbursement methodology. Contact Provider Assistance Center at 1-800-842-8440 for technical support.