CT HB05354

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

Requires the Department of Social Services to provide a process confirming pharmacy receipt of all department notices, including billing-related communications

Mandates maintenance of a reliable, pharmacy-accessible database of the preferred drug list with real-time updates on drug approval and denial decisions

Establishes a grievance process by October 1, 2026, allowing pharmacies to challenge Medicaid reimbursement rates that fail to cover their actual dispensing costs

Effective July 1, 2026