MedicaidPrior AuthMedium impact
New Hepatitis C Prior Authorization Criteria - Sovaldi
Connecticut Medicaid (HUSKY Health)·CT · Gastroenterology, Infectious Disease, Internal Medicine +1 more·Prior Authorization
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has implemented new prior authorization criteria specifically for Sovaldi, a hepatitis C treatment medication. Billing teams must now obtain prior authorization before prescribing or billing for Sovaldi treatments for HUSKY Health members.
Action Required
Immediately: Billing team and providers must obtain prior authorization from HUSKY Health before prescribing or billing for Sovaldi (sofosbuvir) treatments. Update EMR systems and workflows to flag HUSKY Health patients requiring hepatitis C treatment for mandatory prior auth. Review the full policy document at the provided URL for specific criteria requirements. Claims will likely be denied without proper prior authorization.