MedicaidPrior AuthHigh impact
Reinstating Prior Authorization Req - Revised pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Family Medicine, Internal Medicine +6 more·Prior Authorization
Effective date
May 21, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is reinstating prior authorization requirements that were suspended during COVID-19 for inpatient hospital admissions, behavioral health services, advanced imaging, home health services, and dental procedures. All providers must obtain prior authorizations through designated organizations starting May 21, 2021.
Action Required
By May 21, 2021: Billing team must reinstate prior authorization processes for all listed services including inpatient admissions, behavioral health services, advanced imaging, home health beyond specified thresholds, and dental endodontic procedures. Update billing system to require PA for all affected CPT/HCPCS codes. Contact appropriate ASO for authorizations: CHNCT (1-800-440-5071) for medical, Beacon Health Options (1-877-552-8247) for behavioral health, BeneCare (1-888-445-6665) for dental. Claims will be denied without proper prior authorization.