CT HB06091

Prohibits the Commissioner of Social Services from using extrapolation of data from clerical or minor technical errors to deny Medicaid reimbursements to pharmacies during audits, effective July 1, 2025

Requires the department to provide a receipt confirmation process for all notices sent to pharmacies, including billing-related communications

Mandates maintenance of a pharmacy-accessible database of the preferred drug list with real-time updates on drug denials and approvals

Requires implementation of a grievance process by October 1, 2025 allowing pharmacies to challenge Medicaid reimbursements that do not cover their dispensing costs, including the ability to present cost evidence