Back to dashboard
MedicaidReimbursementMedium impact

Updates to the Reimbursement Rates of Select Manually Priced Procedure Codes pdf

Connecticut Medicaid (HUSKY Health)·CT · Gastroenterology, General Surgery, Vascular Surgery +2 more·Reimbursement
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY) updated reimbursement rates for 16 manually priced procedure codes to 57.5% of Medicare rates, added new Hepatitis-B vaccine CPT 90739 at $131.10, and introduced unlisted vaccine code CPT 90749 for newly FDA-approved vaccines.

Action Required

Action needed
By July 1, 2018: Billing team must update fee schedules in billing system with new HUSKY reimbursement rates for 16 procedure codes listed in the policy. Add CPT 90739 (Heplisav-B vaccine) at $131.10 and CPT 90749 (unlisted vaccine) to fee schedule. Ensure NDC codes are required for all vaccine claims using CPT 90749. Download updated fee schedules from www.ctdssmap.com.

Affected Billing Codes

36482
44381
44384
45388
45389
45390
45393
45398
46601
46607
48551
95875
96377
99091
90739
90749