MedicaidPrior AuthMedium impact
Addition of PA on Select Radiology Procedure Codes - Correction pdf
Connecticut Medicaid (HUSKY Health)·CT · Radiology, Diagnostic Imaging·Provider Bulletin
Effective date
May 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires prior authorization for outpatient hospital MRI breast procedures (CPT 77046 and 77047) effective May 1, 2023. This aligns with existing PA requirements already in place for physician and independent radiologist services.
Action Required
Immediately: Billing team must update system to require prior authorization from eviCore healthcare (1-800-440-5071) for CPT codes 77046 and 77047 when billing outpatient hospital services for Connecticut Medicaid patients. Update encounter forms and staff workflows to ensure PA is obtained before performing MRI breast procedures. Claims will be denied without proper authorization.