MedicaidAdministrativeMedium impact
Clarification of Clinician Requirements for Peer to Peer Discussions pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) has clarified requirements for peer-to-peer discussions between providers and physician reviewers when adverse medical necessity determinations occur. Providers must contact specific ASOs to request and schedule these discussions to provide additional clinical information that may overturn denials.
Action Required
Immediately: All providers treating HUSKY Health members must save ASO contact numbers for peer-to-peer requests - Medical services: CHNCT at 1-800-440-5071, Behavioral Health: Beacon at 1-877-552-8247, Dental: BeneCare at 1-888-445-6665. Train clinical staff on peer-to-peer process for overturning adverse determinations. Update denial management workflow to include peer-to-peer option before appeals.