MedicaidPrior AuthMedium impact
2025.25 - Provider Bulletin - Prior Authorization of Medical Home Health Services
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, General Practice·Prior Authorization
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires specific documentation for all home health prior authorization requests, including CMS-485 forms with physician signatures and detailed assessments. Starting July 1, 2025, incomplete requests will be cancelled and returned, requiring resubmission with all required documentation.
Action Required
By July 1, 2025: Billing team must update home health prior authorization workflows to ensure all Connecticut Medicaid requests include required documentation: CMS-485 forms with physician/PA/APRN signatures, comprehensive assessments for initial requests, nursing reassessments and narrative notes for reauthorizations. Train staff that incomplete requests will be cancelled and require complete resubmission starting July 1st.