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CMAP COVID-19 Response - Changes to the Prior Authorization Requirements for Specified Services pdf

Connecticut Medicaid (HUSKY Health)·CT·Prior Authorization
Effective date
Apr 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (CMAP) has temporarily waived prior authorization requirements for multiple services during the COVID-19 public health emergency, effective April 1, 2020. This includes inpatient hospital admissions, outpatient behavioral health services, advanced radiology/imaging, home health services, and certain dental procedures.

Action Required

Action needed
Immediately: Billing team must update billing system to remove prior authorization requirements for Connecticut Medicaid patients for all listed services including inpatient admissions, outpatient behavioral health, advanced imaging, and expanded home health services. Update encounter forms and staff workflows to reflect waived PA requirements. Monitor for future bulletins indicating when the public health emergency ends and PA requirements resume.

Affected Billing Codes

90791
90792
90785
90870
S9480
H0015
H0035
H2012
90832
90833
90834
90836
90837
90838
90853
90846
90847
90849
99201
99202
99203
99204
99205
99211
99212
99213
99214
99215
H2019
T1017
96116
96121
96130
96131
96132
96133
96136
96137
H0020
T1016
H2013
70336
70450
70460
70470
70480
70481
70482
70486
70487
70488
70490
70491
70492
70496
70498
70540
70542
70543
70544
70545
70546
70547
70548
70549
70551
70552
70553
70554
70555
71250
71260
71270
71275
71550
71551
71552
71555
72125
72126
72127
72128
72129
72130
72131
72132
72133
72141
72142
72146
72147
72148
72149
72156
72157
72158
72159
72191
72192
72193
72194
72195
72196
72197
72198
73200
73201
73202
73206
73218
73219
73220
73221
73222
73223
73225
73700
73701
73702
73706
73718
73719
73720
73721
73722
73723
73725
74150
74160
74170
74174
74175
74176
74177
74178
74181
74182
74183
74185
74261
74262
74263
74712
74713
75557
75559
75561
75563
75565
75571
75572
75573
75574
75635
76380
76390
77046
77047
77048
77049
77078
77084
78608
78609
78811
78812
78813
78814
78815
78816
G0297
D3310
D3320

Related policy hubs

Connecticut Medicaid (HUSKY Health) policiesCT policy changesCode 90791Code 90792Code 90785Code 90870Code S9480Code H0015Code H0035Code H2012Code 90832Code 90833Code 90834Code 90836Code 90837Code 90838Code 90853Code 90846Code 90847Code 90849Code 99201Code 99202Code 99203Code 99204Code 99205Code 99211Code 99212Code 99213Code 99214Code 99215Code H2019Code T1017Code 96116Code 96121Code 96130Code 96131Code 96132Code 96133Code 96136Code 96137Code H0020Code T1016Code H2013Code 70336Code 70450Code 70460Code 70470Code 70480Code 70481Code 70482Code 70486Code 70487Code 70488Code 70490Code 70491Code 70492Code 70496Code 70498Code 70540Code 70542Code 70543Code 70544Code 70545Code 70546Code 70547Code 70548Code 70549Code 70551Code 70552Code 70553Code 70554Code 70555Code 71250Code 71260Code 71270Code 71275Code 71550Code 71551Code 71552Code 71555Code 72125Code 72126Code 72127Code 72128Code 72129Code 72130Code 72131Code 72132Code 72133Code 72141Code 72142Code 72146Code 72147Code 72148Code 72149Code 72156Code 72157Code 72158Code 72159Code 72191Code 72192Code 72193Code 72194Code 72195Code 72196Code 72197Code 72198Code 73200Code 73201Code 73202Code 73206Code 73218Code 73219Code 73220Code 73221Code 73222Code 73223Code 73225Code 73700Code 73701Code 73702Code 73706Code 73718Code 73719Code 73720Code 73721Code 73722Code 73723Code 73725Code 74150Code 74160Code 74170Code 74174Code 74175Code 74176Code 74177Code 74178Code 74181Code 74182Code 74183Code 74185Code 74261Code 74262Code 74263Code 74712Code 74713Code 75557Code 75559Code 75561Code 75563Code 75565Code 75571Code 75572Code 75573Code 75574Code 75635Code 76380Code 76390Code 77046Code 77047Code 77048Code 77049Code 77078Code 77084Code 78608Code 78609Code 78811Code 78812Code 78813Code 78814Code 78815Code 78816Code G0297Code D3310Code D3320