MedicaidPrior AuthMedium impact
Hospital Monthly Important Message - 9.4.2020 pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Oncology·Provider Bulletin
Effective date
Sep 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) removed prior authorization requirements for specific genetic testing codes effective August 1, 2020 and September 1, 2020, and implemented a 20% payment increase for COVID-19 inpatient stays from April-June 2020.
Action Required
Immediately: Update billing system to remove prior authorization requirements for CPT codes 81420, 81507, 81528, and 81511 for HUSKY Health members. Ensure COVID-19 diagnosis code U07.1 is reported on inpatient claims for April-June 2020 discharges to receive 20% payment increase. Verify eligibility changes don't require claim splits using EOB code 4127 guidance.