MedicaidPrior AuthMedium impact
DSS Important Message - Reminder: New Pharmacy Clinical Prior Authorization Criteria and Prior Authorization Forms for Non-Preferred Drugs in 11 Targeted Classes
Connecticut Medicaid (HUSKY Health)·CT·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Effective January 1, 2026, Connecticut Medicaid has implemented new clinical prior authorization criteria and forms for non-preferred drugs in 11 targeted classes including anticonvulsants and GLP-1 agonists. All prior authorization requests must use the new forms or they will be denied.
Action Required
Before January 1, 2026: Billing team must visit www.ctdssmap.com pharmacy page to download new prior authorization forms and clinical criteria for 11 drug classes. Update prior authorization workflows to use only the new forms. Review Provider Bulletin 2025-59 for complete details. Failure to use correct forms will result in automatic denials.