MedicaidCoverageMedium impact
2025.01 - Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria
Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, PM&R (Physical Medicine & Rehab), Physical Therapy +2 more·Provider Bulletin
Effective date
Feb 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is implementing new clinical review criteria and policy updates for multiple medical services effective February 1, 2025, including new policies for infertility, pulse oximeters, and various orthoses/prostheses, plus updates to existing policies for botulinum toxin, genetic testing, and rehabilitation services.
Action Required
By February 1, 2025: Billing team must review all new and updated Connecticut Medicaid policies at https://portal.ct.gov/husky under Information for Providers > Policies, Procedures and Guidelines. Update prior authorization workflows for affected services including infertility treatments, orthoses/prostheses, botulinum toxin, genetic testing, and rehabilitation services. Contact CHNCT at 1-800-440-5071 for prior authorization questions.