Prior Authorization in Connecticut
Connecticut enacted PA 19-117 requiring step therapy override provisions. Insurers must grant overrides when a required drug is contraindicated, has caused adverse reaction, is expected to be ineffective, or the patient is stable on the current therapy. CT also requires PA decisions within 2 business days for standard and 24 hours for urgent.
Key Facts About PA in Connecticut
- ✓ Step therapy override law with four qualifying exception criteria
- ✓ Standard PA decisions required within 2 business days
- ✓ Urgent PA requests require response within 24 hours
- ✓ Connecticut Insurance Department provides robust external review process
Quick Stats
- Typical Appeal Filing Window: 30 days
- External Review Available: Yes
- Major Payers: 4
Top Payers in Connecticut
RxCheckUp generates payer-specific Letters of Medical Necessity for each of these Connecticut carriers:
Anthem BCBS ConnecticutAetnaUnitedHealthcareCigna