MedicaidPrior AuthMedium impact
2020.63 Provider Bulletin - Clarification pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Provider Bulletin
Effective date
Sep 1, 2020
We identified it
Jun 20, 2026
Summary
Prior authorization is no longer required for procedure codes 81420 and 81507 for pregnant HUSKY Health (Connecticut Medicaid) members effective September 1, 2020. These genetic testing services can now be provided to any pregnant member regardless of risk category as long as medically necessary.
Action Required
Immediately: Billing team must update system settings to remove prior authorization requirements for CPT codes 81420 and 81507 for pregnant HUSKY Health members. Update encounter forms and workflows to reflect no prior auth needed. Ensure providers document medical necessity per Connecticut Medical Assistance Program requirements.