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Policy Updates and Changes to Clinical Review Criteria pdf

Connecticut Medicaid (HUSKY Health)·CT · Oncology, Hematology, Pediatrics·Provider Bulletin
Effective date
Nov 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) is implementing prior authorization requirements for TECARTUS™ (a new cancer treatment) and updating clinical review criteria for genetic testing, organ transplant, and other specialized services. New and updated prior authorization forms are now available.

Action Required

Action needed
By November 1, 2020: Billing teams must obtain prior authorization for TECARTUS™ (brexucabtagene autoleucel) before administration. Download updated PA forms for Synagis, genetic testing, and Zulresso from the HUSKY Health website. For prior authorization questions, contact CHNCT at 1-800-440-5071.