MedicaidPrior AuthHigh impact
Hospital Monthly Important Message - 05.11.2021 pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
May 21, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) updated coding and payment systems for April 2021 HCPCS changes, reinstated prior authorization requirements suspended during COVID-19 PHE effective May 21, 2021, and updated COVID-19 vaccine administration reimbursement to $40.00 with new coding for Janssen vaccine.
Action Required
By May 21, 2021: Billing team must resume submitting prior authorization requests for all services that had PA requirements suspended during COVID-19 PHE. Contact CHNCT at 1-800-440-5071 for medical authorizations and Beacon Health Options at 1-877-552-8247 for behavioral health. Update COVID-19 vaccine administration billing to use $40.00 reimbursement rate and include both administration codes (0001A, 0002A, 0011A, 0012A, 0031A) with RCC 770 plus vaccine product codes (91300, 91301, 91303) with NDC. Claims will be denied without proper prior authorization after May 20, 2021.