MedicaidPrior AuthHigh impact
Doc Req for Prior Authorization of Medical Equipment - Devices - Supplies pdf
Connecticut Medicaid (HUSKY Health)·CT·Prior Authorization
Effective date
Jun 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires complete documentation for all medical equipment, devices, and supplies (MEDS) prior authorization requests, including prescription with specific elements, face-to-face visit documentation for certain DME within 6 months, and pricing information. Effective June 1, 2022, incomplete requests will be cancelled and returned, requiring providers to resubmit entirely new requests.
Action Required
Immediately: Update prior authorization workflow for all MEDS requests to ensure complete documentation including: 1) Prescription with member info, diagnosis, detailed item description, duration of need, prescriber info and NPI; 2) Face-to-face visit documentation within 6 months for applicable DME with clinical findings and practitioner credentials; 3) Assessment/progress notes within 12 months supporting medical necessity; 4) Pricing information (MSRP and AAC) for manually priced items. Train staff that incomplete requests will be cancelled and require complete resubmission. Contact CHNCT at 1-800-440-5071 for prior auth process questions.