MedicaidPrior AuthMedium impact
Policy Updates and Changes to Clinical Review Criteria pdf
Connecticut Medicaid (HUSKY Health)·CT · Neurology, Oncology, Gastroenterology +4 more·Provider Bulletin
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) is implementing new prior authorization requirements for 6 new services including Aduhelm and suit therapy devices, plus updating clinical criteria for 7 existing services including botulinum toxin and gender affirmation surgery. All changes take effect May 1, 2022.
Action Required
By May 1, 2022: Billing team must obtain prior authorization for new services including Aduhelm, home suit therapy devices, PEG spacing hydrogel implants, light therapy for acne, IB-Stim devices, and ROSE procedures for Connecticut Medicaid patients. Download new prior authorization forms from HUSKY Health portal and update billing workflows to check authorization requirements before scheduling these services. Contact CHNCT at 1-800-440-5071 for prior authorization questions.