MedicaidPrior AuthMedium impact
Policy Updates and Changes to Clinical Review Criteria pdf
Connecticut Medicaid (HUSKY Health)·CT · Pulmonology, OB-GYN, Neurology +1 more·Provider Bulletin
Effective date
Aug 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) has retired the Enclosed Bed and OVA1® testing policies effective August 1, 2020, and updated clinical criteria for six other services including genetic testing, patient lifts, and specialized medications. The Enclosed Bed will now use InterQual criteria for review, while OVA1® testing requests will be reviewed individually due to insufficient clinical evidence.
Action Required
By August 1, 2020: Billing team must update prior authorization processes for Connecticut Medicaid patients requiring Enclosed Bed services (now uses InterQual criteria) and OVA1® testing (now requires individual review). Review updated clinical criteria for Intrapulmonary Percussive Ventilation, Peristeen® Anal Irrigation System, Genetic Testing, Patient Lifts, Spinraza®, and Zolgensma® on the HUSKY Health website. Contact CHNCT at 1-800-440-5071 for prior authorization questions.