MedicaidCoverageMedium impact
2020.62 Provider Bulletin - Clarification of Coverage for Blood Pressure Monitors and Breast Pumps pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Internal Medicine, OB-GYN +1 more·Provider Bulletin
Effective date
Aug 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY) has clarified coverage for blood pressure monitors and breast pumps. Blood pressure monitor coverage is now extended to HUSKY B members, with specific requirements for wrist monitors. Breast pumps can be dispensed prior to hospital admission but not before the third trimester.
Action Required
Immediately: Update billing procedures for Connecticut Medicaid patients. For blood pressure monitors on wrist (not upper arm), obtain prior authorization with documentation that extra-large arm cuff won't fit, medical necessity, appropriate ICD-10 codes, and maintain medical record documentation. For breast pumps (E0602, E0603), ensure dispensing only occurs during third trimester or later, limit to one pump per member every two calendar years, and ensure prescriptions are valid for maximum one year.