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Upcoming Changes to Pharmacy Claims for Diabetic Supplies pdf
Connecticut Medicaid (HUSKY Health)·CT · Endocrinology, Family Medicine, Internal Medicine·Pharmacy
Effective date
Nov 4, 2020
We identified it
Jun 20, 2026
Summary
Effective November 4, 2020, Connecticut Medicaid (HUSKY A, C, and D) will cover diabetic supplies like meters, test strips, and lancets through pharmacy point-of-sale billing for members 21 and older, with all diabetic supplies now subject to a Medicaid Preferred Product List. Pharmacy providers must transition from professional DME billing to POS billing and obtain prior authorization for non-preferred diabetic products.
Action Required
By November 4, 2020: Pharmacy billing staff must transition all diabetic supply claims for HUSKY A, C, and D members to point-of-sale (POS) billing and discontinue billing as Professional DME claims in ASC X12N 837P format. Update billing system to require prior authorization for non-preferred diabetic products. Review the Diabetic Supplies Preferred Product List on www.ctdssmap.com under Pharmacy Information before implementation. Claims submitted under old DME format after effective date may be denied.