MedicaidPrior AuthHigh impact
Submission of Prior Authorization Requests for Medical Goods and Services pdf
Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy, Chiropractic +5 more·Prior Authorization
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has updated prior authorization documentation requirements for medical goods and services. The policy clarifies required elements for PA requests and specifies additional documentation needed for DME, therapy services, wheelchairs, genetic testing, and surgical procedures to reduce delays and administrative burden.
Action Required
Immediately: Billing team must ensure all Connecticut Medicaid prior authorization requests include required elements: billing provider CMAP ID/contact info, referring provider NPI/contact info, member demographics, diagnosis/procedure codes, service dates, and clinical necessity documentation. Update PA submission workflows to include service-specific requirements (prescriptions for DME, treatment plans for therapy, face-to-face encounter documentation). Use authorization-specific forms from HUSKY Health website. Incomplete submissions will result in unnecessary delays.