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DSS Important Message - Update to Prior Authorization Requirements pdf

Connecticut Medicaid (HUSKY Health)·Psychiatry·Prior Authorization
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Prior authorization requirements have been removed for office visit codes 99202-99205 and 99211-99215 for Behavioral Health FQHC providers. Claims previously denied for lacking prior auth will be automatically reprocessed starting April 26, 2022.

Action Required

Action needed
Immediately: Behavioral Health FQHC billing teams should stop obtaining prior authorization for CPT codes 99202-99205 and 99211-99215. Monitor April 26, 2022 Remittance Advice for reprocessed claims with ICN beginning with region code 27. Watch for future remittance advice banner messages regarding remaining claim reprocessing.

Affected Billing Codes

99202
99203
99204
99205
99211
99212
99213
99214
99215
T1015