MedicaidCoverageMedium impact
2025.61 - Changes to Orthodontia Benefit for HUSKY B - Updated Orthodontia Qualifications
Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut HUSKY B (CHIP) program removed lifetime limits on orthodontic treatment and updated qualification criteria for comprehensive orthodontic care. Changes are retroactive to July 1, 2025, with new age requirements (under 21) and specific clinical criteria including Malocclusion Severity Assessment scores of 26+ or documented psychological conditions.
Action Required
Immediately: Dental practices in Connecticut must update HUSKY B orthodontic billing procedures to remove lifetime limits. Update patient records systems to track new qualification criteria including Malocclusion Severity Assessment scores and age requirements. Ensure financial agreements are signed acknowledging patient responsibility for costs exceeding $725 HUSKY B allowance. Maintain documentation demonstrating patients meet new qualification criteria even though prior authorization is not required for HUSKY B members.