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2023.69 Provider Bulletin - Addition of Periodontal Benefits pdf

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

Summary

Connecticut Medicaid (HUSKY A, B, C, D and Covered CT) will now cover select periodontal services effective January 1, 2024. All periodontal scaling and root planing services require prior authorization and patients must have both periodontal disease and specific qualifying co-morbid conditions.

Action Required

Action needed
By January 1, 2024: Dental billing teams must update systems to require prior authorization for CDT codes D4341 and D4342 (periodontal scaling and root planing). Establish workflow to verify patients have qualifying co-morbid conditions before submitting PA requests through the BeneCare/CTDHP portal at www.ctdhp.org. Train staff on comprehensive documentation requirements including periodontal charting, treatment plans, and radiographs. Claims will be denied without proper prior authorization.

Affected Billing Codes

D0180
D4341
D4342
D4355
D4910