MedicaidPrior AuthMedium impact
Removal of Prior Authorization for Select Behavioral Health Services pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Family Medicine, Internal Medicine +1 more·Prior Authorization
Effective date
Sep 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has removed prior authorization requirements for 12 specific behavioral health procedure codes effective September 1, 2022. Billing teams can now submit claims for these services without obtaining prior approval.
Action Required
Immediately: Billing team must update system settings to remove prior authorization requirements for the 12 specified behavioral health codes when billing Connecticut Medicaid. Update encounter forms and billing workflows to reflect that these services no longer require pre-approval. Verify outpatient hospital behavioral health services continue to use all-inclusive rates per regulations.