IMPORTANT NOTICE FOR MEDICAID/HUSKY PATIENTS WHO TAKE PRESCRIPTION DRUGS
You may lose your medication coverage soon!
Does Medicaid/HUSKY pay for a medication you take for any of these conditions?
Autoimmune conditions • Type 2 Diabetes • Seizures or Epilepsy • Overactive bladder • Migraines • Psoriasis • Asthma • Growth Disorders • Multiple Sclerosis • Pulmonary Arterial Hypertension • Low White Blood Cell Count
If so, please read the information below. Your access to medication could be interrupted soon, but there are steps you can take to help prevent this.
What is happening?
Starting January 1, 2026, the Department of Social Services (DSS) changed Medicaid rules for many medications. Doctors will need to get prior authorization (special approval) before Medicaid will pay for certain drugs. These rules are strict and affect over 220 medications in 11 categories. Even if you already take one of these drugs, you will need your doctor to request and get approval by April 1. If not, the pharmacy will be unable to give you the medication after that date unless you pay for it.
Patients were not notified of this major change in writing, and most will only learn of it when they are denied their medication at the pharmacy.
What medications are affected?
This policy affects medications for seizures, bladder problems, growth hormone disorders, multiple sclerosis, pulmonary arterial hypertension, some injectable or immune-based asthma drugs, migraines, low white blood cell count, psoriasis, Type 2 Diabetes (GLP-1 medications), and immune or inflammatory conditions. The full list of affected drugs is at the end of this bulletin: Connecticut Department of Social Services
What does this mean for you?
If you take one of these medications, your coverage could end after April 1, 2026 unless your doctor completes the required approval process. This could mean missed doses, worse symptoms, emergency room visits, or trouble managing your condition.
What can you do next?
1. Talk to your doctor: Ask if your medication is affected, if you need special approval, or if there is another drug you can use without extra approval.
2. Share your story: We are collecting patient experiences to show how this policy affects people who need these drugs and to help protect their access.
Do you need help or want to share your story?
Please contact us at: Disability Rights Connecticut (www.disrightsct.org). Ask for Sheldon Toubman at 475-345-3169 or sheldon.toubman@disrightsct.org
