MedicaidPrior AuthMedium impact
Treatment for Gender Dysphoria Gender Reassignment Surgical Procedures pdf
Connecticut Medicaid (HUSKY Health)·CT · Plastic Surgery, Urology, Dermatology +1 more·Provider Bulletin
Effective date
Apr 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) updated their gender affirmation surgery policy, adding coverage for laser hair removal services and updating prior authorization requirements. All gender affirmation services now require prior authorization, with specific billing procedures for laser hair removal (CPT 99243, 17999) and surgical services (CPT 55970, 55980).
Action Required
Immediately: For Connecticut HUSKY Health members seeking gender affirmation services, billing team must obtain prior authorization for all services before rendering care. Use CPT 99243 for laser hair removal consultation (one unit max per member) and CPT 17999 for laser hair removal treatment. For surgical services, submit PA requests under CPT 55970 or 55980 but bill claims using only these umbrella codes. All claims must include ICD-10 F64.0 as primary diagnosis. Submit PA requests to CHNCT via fax (203) 265-3994. Update billing system to prevent paper claims for laser hair services - must use secure web portal only.