MedicaidAdministrativeMedium impact
Reinstating Pharmacy Requirements pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice +2 more·Pharmacy
Effective date
May 21, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) is reinstating pre-COVID pharmacy restrictions effective May 21, 2021, including reducing non-maintenance drug supplies from 90 to 30 days, increasing early refill thresholds from 80% to 93%, and reinstating copays for HUSKY B beneficiaries and Medicare Part D dual eligibles.
Action Required
By May 21, 2021: Billing team must update pharmacy billing systems to enforce 30-day supply limits for non-maintenance drugs, implement 93% early refill threshold requirements, reinstate $5 generic/$10 brand copays for HUSKY B patients, and reinstate Medicare Part D copay requirements for dual eligible patients. Update patient collection procedures to require signatures at prescription pickup.