MedicaidPrior AuthMedium impact
Policy Updates and Changes to Clinical Review Criteria pdf
Connecticut Medicaid (HUSKY Health)·CT · Neurology, Plastic Surgery, Vascular Surgery +2 more·Provider Bulletin
Effective date
May 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is implementing new clinical review criteria for walkers and office-based excimer laser therapy, plus updating existing criteria for 8 other services including cranial remodeling devices, botulinum toxin treatments, and various surgical procedures. These changes affect prior authorization requirements and coverage determinations for Connecticut Medical Assistance Program providers.
Action Required
By May 1, 2023: Billing and prior authorization staff must review updated clinical review criteria for walkers, office-based excimer laser therapy, cranial remodeling devices, botulinum toxin treatments, varicose vein procedures, PEG spacing hydrogel implants, cosmetic/reconstructive surgery, and wheelchair-mounted robotic arms. Update prior authorization submission processes to reflect new criteria. Contact CHNCT at 1-800-440-5071 for prior authorization questions and access updated policies at https://portal.ct.gov/husky under Medical Management policies.