Traditional MedicareAdministrativeMedium impact
Reinstatement of Pharmacy Monthly Co-pay Maximum for Dual Eligible Clients
Connecticut Medicaid (HUSKY Health)·CT·Pharmacy
Effective date
Oct 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut reinstates a $17 monthly co-pay maximum for dual eligible clients (Medicare Part D + Medicaid) effective October 1, 2016. Pharmacies must submit all Medicare Part D claims to Hewlett Packard Enterprise for co-pay tracking and cannot charge clients more than $7.40 per prescription or $17 total per month.
Action Required
By October 1, 2016: Pharmacy billing staff must submit all Medicare Part D claims for dual eligible clients to Hewlett Packard Enterprise before charging co-pays. Update billing procedures to never charge co-pays exceeding $7.40 per prescription or allow monthly co-pays to exceed $17. Do not manually track client co-pays - let the system track to prevent overcharging clients.