2022 Rate Updates for Drug Codes

Apr 07, 2023

Effective July 13, 2022 and October 1, 2022, the Department has updated certain drug codes retroactively due to a rate update from the Centers for Medicare & Medicaid Services’ (CMS).  

See the table below for the effective dates and new rates. 

Adjustments for affected claims:  

• If you billed these codes at a higher rate than is indicated in the table above, we will reprocess your claims, and providers do not need to take further action.   

• If you billed these codes at a lower rate than is indicated in the table above, please adjust the affected claims. Providers have 120 days from the date of this notice to submit corrected adjustments. Please focus on the older dates of service first.  

Please contact your Provider Relations Specialist with questions.