MedicaidAdministrativeMedium impact

Full Activation of Pharmacy and Non-Pharmacy OPR Edits and Rescheduling of Hydrocodone Combination Products

Q: Who is affected by this change?

This affects Connecticut Medicaid (HUSKY Health) Pain Management, Family Medicine, Internal Medicine, Orthopedics, General Surgery providers in CT on Medicaid plans.

Connecticut Medicaid (HUSKY Health)·CT · Pain Management, Family Medicine, Internal Medicine +2 more·Pharmacy

Effective date

Not stated

We identified it

Jun 20, 2026

Days to comply

—

Summary

Connecticut Medicaid (HUSKY Health) has fully activated Opioid Prescribing Rules (OPR) edits for both pharmacy and non-pharmacy claims, and rescheduled hydrocodone combination products. This affects prescribing controls and claim processing for opioid medications.

Action Required

Action needed

Immediately: Review current hydrocodone combination product prescriptions for Connecticut Medicaid patients to ensure compliance with new scheduling requirements. Update prescribing protocols to align with activated OPR edits. Monitor claim rejections for opioid-related services and adjust documentation as needed.

Related policy hubs

Connecticut Medicaid (HUSKY Health) policies CT policy changes Pain Management Family Medicine Internal Medicine Orthopedics General Surgery