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2023.21 Provider Bulletin - Prior Authorization for Inpatient Elective Admissions pdf
Connecticut Medicaid (HUSKY Health)·CT·Prior Authorization
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid reinforces that prior authorization is required for ALL elective inpatient admissions and cannot be bypassed by incorrectly submitting as emergent admissions. Facilities that misclassify elective admissions as emergent will have requests cancelled and returned.
Action Required
Immediately: Billing and authorization staff must ensure all elective inpatient admissions obtain prior authorization before admission through proper channels, not the emergent portal. Update workflows to verify authorization status before scheduling elective procedures requiring inpatient stays. Train staff that misclassifying elective as emergent will result in cancelled requests and potential claim denials.