MedicaidPrior AuthMedium impact
Policy Updates and Changes to Clinical Review Criteria pdf
Connecticut Medicaid (HUSKY Health)·CT · Endocrinology, Plastic Surgery, Oncology +4 more·Provider Bulletin
Effective date
Nov 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has implemented new policies for Continuous Glucose Monitors and Cosmetic/Reconstructive Surgery, plus updated clinical review criteria for six existing policies including Yescarta, Synagis, and genetic testing services. All corresponding authorization request forms will be updated to reflect these policy changes.
Action Required
By November 1, 2021: Billing team must review updated clinical review criteria for Yescarta, Synagis, Zulresso, Whole Exome/Whole Genome Sequencing, Genetic Testing, and Therapeutic/Orthopedic Footwear services on the HUSKY Health portal. Update prior authorization processes for new Continuous Glucose Monitor and Cosmetic/Reconstructive Surgery policies. Contact CHNCT at 1-800-440-5071 for prior authorization questions.