All PlansAdministrativeMedium impact
Attention Pharmacy Providers: Third Party Liability Claim Edits to be Re-activated
Connecticut Medicaid (HUSKY Health)·Pharmacy
Effective date
May 30, 2017
We identified it
Jun 20, 2026
Summary
Third Party Liability (TPL) claim edits for pharmacy providers have been re-activated effective May 30, 2017, after being temporarily suspended during the Impact eligibility system implementation. Pharmacies must now bill the client's primary insurance first before billing secondary coverage when applicable.
Action Required
Effective May 30, 2017: Pharmacy billing team must ensure all claims are first submitted to the client's primary insurance before billing secondary coverage. Update billing workflow to check TPL status and verify primary insurance billing sequence. Contact HMS at 1-866-277-4271 for questions about client's third party liability status.