MedicaidPrior AuthMedium impact
DSS Important Message - Clarification to PB 2022-03 and PB 2022-04 regarding PA for Home Health Services pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
We identified it
Jun 20, 2026
Summary
This clarifies the prior authorization process for home health services under Connecticut Medicaid waiver programs. Home health agencies must obtain PA from Access Agencies for CHCPE, ABI, CHC and PCA waiver clients, while Autism waiver clients require PA from DSS Autism Case Managers through the Web Portal.
Action Required
Immediately: Home health billing teams in Connecticut must verify PA source before submitting claims - obtain authorization from Access Agency for CHCPE, ABI, CHC and PCA waiver clients, and from DSS Autism Case Manager for Autism waiver clients. Update billing workflows to check PA status in Gainwell Technologies system. Services exceeding standard benefits will remain in-process until DSS medical necessity review is complete.