MedicaidPrior AuthMedium impact
Corneal Collagen Cross linking - New Coverage Guidelines and Prior Authorization Form pdf
Connecticut Medicaid (HUSKY Health)·CT · Ophthalmology·Prior Authorization
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (CMAP) has established new coverage guidelines and prior authorization requirements for Corneal Collagen Cross-linking (CXL) procedures used to treat progressive keratoconus and corneal ectasia. All providers must now use a specific prior authorization form and submit supporting clinical documentation for medical necessity.
Action Required
By July 1, 2019: Billing team must download and implement the new Corneal Collagen Cross-linking Prior Authorization Request Form from www.ct.gov/husky for all CXL procedures. Providers must complete and sign the form with supporting clinical documentation before submitting to CHNCT (1-800-440-5071). Update workflow to ensure all required documentation is submitted within 20 business days to avoid denial.