MedicaidAdministrativeMedium impact
Discontinue Use of Expired Form W-1HUS (HUSKY Application and Renewal Form)
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut providers must immediately stop using the expired Form W-1HUS for HUSKY Health applications and destroy any remaining forms in their possession. Patients should now apply through Access Health CT online or by phone for real-time eligibility determinations, with different application processes based on age and Medicare status.
Action Required
Immediately: Destroy all Form W-1HUS (HUSKY Application and Renewal Form) in your possession. Direct patients under 65 without Medicare to apply at www.accesshealthct.com or call 1-855-805-4325 for real-time HUSKY Health eligibility. For patients 65+, with Medicare, blind, or disabled, direct them to www.Connect.ct.gov or provide Form W-1E. Update patient intake procedures and staff training materials with new application processes.