MedicaidPrior AuthMedium impact
Prior Authorization Required for Specific J-codes
Connecticut Medicaid (HUSKY Health)·CT · Neurology, Oncology, Orthopedics +1 more·Prior Authorization
Effective date
Nov 15, 2024
We identified it
Jun 20, 2026
Summary
Starting November 15, 2024, prior authorization is required for 9 specific J-codes at outpatient hospitals and outpatient chronic disease hospitals. Claims submitted without prior authorization for these codes will be denied.
Action Required
Before November 15, 2024: Billing team must update systems to require prior authorization for J-codes J0172, J0174, J0224, J1413, J1426, J1427, J1429, J3241, and J7330 for outpatient hospital services. Contact CHNCT at 1-800-440-5071 for prior authorization questions. Access authorization portal at https://portal.ct.gov/HUSKY. Failure to obtain prior auth will result in claim denials.