MedicaidCoverageMedium impact
2023.65 Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria pdf
Connecticut Medicaid (HUSKY Health)·CT · General Surgery, Neurology, Endocrinology +5 more·Provider Bulletin
Effective date
Nov 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is implementing new clinical review policies for bariatric surgery and botulinum toxin treatments, retiring several existing policies, and updating review criteria for 9 other medical services including genetic testing and continuous glucose monitors. All changes take effect November 1, 2023.
Action Required
By November 1, 2023: Billing team must review and update prior authorization processes for Connecticut Medicaid patients receiving bariatric surgery, botulinum toxin treatments, corneal collagen cross-linking, genetic testing, continuous glucose monitors, and other affected services. Access updated policies at https://portal.ct.gov/husky under Medical Management. Contact CHNCT at 1-800-440-5071 for prior authorization questions. Claims may be denied if new criteria are not followed.