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2023.88 Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria PDF

Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Feb 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid is implementing new clinical review criteria and policies for various medical services and equipment effective February 1, 2024. Six new policies are being added including stair lifts, infusion pumps, and Alzheimer's treatments, while one policy is being retired and eight existing policies are being updated.

Action Required

Action needed
By February 1, 2024: Billing team must review all new and updated clinical review criteria on the HUSKY Health website at https://portal.ct.gov/husky under Information for Providers > Policies, Procedures and Guidelines. Update prior authorization workflows for new covered services including stair lifts, ambulatory infusion pumps, adaptive tricycles, My Airvo 2 systems, therapeutic positioning equipment, and Alzheimer's monoclonal antibody treatments. For Electric Tumor Treatment Field Therapy, switch to using Change Healthcare's InterQual criteria instead of previous policy. Contact CHNCT at 1-800-440-5071 for prior authorization process questions.