MedicaidPrior AuthHigh impact
DSS Important Message - Hospital Monthly Important Message - 02.14.2025
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Nov 15, 2024
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) updated HCPCS codes for 2025, requires prior authorization for 9 specific J-codes for outpatient hospitals effective November 15, 2024, and implements new EDI requirements by March 31, 2025. Hospital certification letters must be uploaded by February 28, 2025.
Action Required
By February 28, 2025: Upload 1115 outpatient hospital certification letters through secure portal at www.ctdssmap.com with effective and end dates. Immediately: Verify clearinghouses/vendors are aware of March 31, 2025 EDI system changes and have updated contact information. For J-codes J0172, J0174, J0224, J1413, J1426, J1427, J1429, J3241, J7330: Ensure prior authorization is obtained before service (effective since November 15, 2024) or claims will be denied. Contact CHNCT at 1-800-440-5071 for PA questions.