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MedicaidPrior AuthMedium impact

Elimination of Belbuca and Butrans from Long-Acting Sustained Release Opioid Prior Authorization pdf

Connecticut Medicaid (HUSKY Health)·CT · Pain Management, Family Medicine, Internal Medicine +1 more·Prior Authorization
Effective date
Feb 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Effective February 1, 2019, Connecticut Medicaid (HUSKY programs) eliminated prior authorization requirements for Belbuca (buprenorphine buccal film) and Butrans (buprenorphine transdermal patch). These medications can now be prescribed without prior approval for chronic pain management in covered patients.

Action Required

Action needed
Update billing system to remove prior authorization requirements for Belbuca and Butrans prescriptions for Connecticut Medicaid patients. Notify providers that these buprenorphine medications no longer need PA approval but should still be reserved for patients where alternative treatments have failed. Update encounter forms and workflow to reflect this change for HUSKY A, B, C, D, Family Planning, and Tuberculosis coverage patients.