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Bone-Anchored Hearing Aids Coverage Guidelines pdf

Connecticut Medicaid (HUSKY Health)·CT · ENT (Ear, Nose & Throat)·Provider Bulletin
Effective date
Jun 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has updated coverage guidelines for bone-anchored hearing aids (BAHAs) effective June 1, 2019, establishing new criteria for HCPCS code L8690 while maintaining existing InterQual criteria for L8692. All BAHA requests require prior authorization submission through either fax or the medical authorization web portal.

Action Required

Action needed
Billing team must ensure all bone-anchored hearing aid claims use correct HCPCS codes (L8690 for osseointegrated devices, L8692 for external processors) and obtain prior authorization through either the Outpatient PA Request Form via fax or the Medical Authorization Portal at www.ct.gov/husky. Submit comprehensive clinical documentation supporting medical necessity with initial PA requests to avoid 20-day pending period and potential denial.

Affected Billing Codes

L8690
L8692