MedicaidPrior AuthHigh impact
2025.40 - Provider Bulletin - Submission of Prior Authorization Requests & Letters of Medical Necessity
Connecticut Medicaid (HUSKY Health)·CT·Prior Authorization
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires that only enrolled prescribers can sign and submit prior authorization requests and letters of medical necessity for pharmacy services. Pharmacies, office staff, and other non-prescribers are prohibited from signing PA forms on behalf of prescribers, and violations will result in immediate denials and quality assurance investigations.
Action Required
Immediately: Ensure only enrolled prescribers sign all Connecticut Medicaid pharmacy prior authorization requests and letters of medical necessity. Office staff and nurses must stop signing PA forms on behalf of providers. Providers must personally review and sign each PA request. Document all pharmacy contacts regarding missing diagnosis codes with date, time, contact person, and pharmacist countersignature. Violations will result in PA denials and quality assurance investigations.