MedicaidPrior AuthMedium impact
New Prior Authorization Request Form for Long Acting Sustained Release Opioid Medications
Connecticut Medicaid (HUSKY Health)·CT · Oncology, Pain Management, Hematology·Prior Authorization
Effective date
Dec 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY plans) now requires prior authorization for all long-acting sustained release opioid medications effective December 1, 2016, with strict criteria requiring cancer diagnosis and care by oncologist/pain specialist. Current patients have a 6-month grace period.
Action Required
By December 1, 2016: Billing team must implement prior authorization workflow for long-acting sustained release opioids for Connecticut Medicaid patients (HUSKY A, B, C, D, FAMPL, TB). Providers must complete new PA form verifying patient is 12+ years old, has cancer diagnosis, is under oncologist/pain specialist care, has no contraindications, and needs continuous therapy. Current patients exempt for 6 months. Claims will be denied without proper prior authorization.