MedicaidReimbursementMedium impact
COVID-19 Vaccine Admin - By Pharmacists - Interns & Technicians pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
Effective date
Mar 15, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) increased COVID-19 vaccine administration reimbursement from previous rates to $40.00 per dose, effective retroactively from March 15, 2021. The policy also expanded coverage to include vaccine administration for members under Limited Benefit programs and specifies required NCPDP submission clarification codes for proper billing.
Action Required
Immediately: Billing team must update Connecticut Medicaid claims to use $40.00 reimbursement rate for COVID-19 vaccine administration (retroactive to March 15, 2021). Submit vaccine ingredient cost as $0.01 with no dispensing fee. For two-dose vaccines: use NCPDP Submission Clarification Code 2 ('Other Override') for first dose and Code 6 ('Starter Dose') for second dose. For single-dose vaccines: use Code 6 ('Starter Dose'). Expand billing to include Limited Benefit program members (TB, Family Planning, COVID-19 Testing groups).