Traditional MedicareReimbursementMedium impact
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, 2018
We identified it
Jun 20, 2026
Summary
Medicare Part D co-pay amounts for dual eligible HUSKY clients are increasing effective January 1, 2018: generic drugs increase from $2.95 to $3.35, and all other drugs increase from $7.40 to $8.35. A new edit will reject co-pay only claims over $8.35, and all Medicare Part D claims must be submitted to DXC Technology to track the $17 monthly maximum.
Action Required
By January 1, 2018: Pharmacy billing staff must update systems to reflect new Medicare Part D co-pay amounts ($3.35 for generics, $8.35 for other drugs) and ensure all Medicare Part D claims for dual eligible clients are submitted to DXC Technology first before charging patients. Configure systems to reject co-pay only claims over $8.35 to prevent claim denials.