MedicaidCoverageMedium impact
2024.23 - Provider Bulletin Policy Updates and Changes to Clinical Review Criteria PDF
Connecticut Medicaid (HUSKY Health)·CT · PM&R (Physical Medicine & Rehab), Physical Therapy, Occupational Therapy +2 more·Provider Bulletin
Effective date
May 1, 2024
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) is implementing new clinical review criteria for 10 medical equipment categories and updating policies for 6 existing categories, affecting durable medical equipment and rehabilitation services coverage and prior authorization requirements.
Action Required
By May 1, 2024: Billing team must review updated clinical review criteria for durable medical equipment categories including hospital beds, wheelchairs, walkers, burn garments, blood pressure monitors, and rehabilitation services on the HUSKY Health website. Update prior authorization workflows to ensure compliance with new criteria. Contact CHNCT at 1-800-440-5071 for prior authorization questions. Failure to meet new criteria may result in claim denials.