MedicaidPrior AuthMedium impact
Removal of Prior Authorization-Registration for Behavioral Health Professional Services Rendered During a Medical Inpatient Stay pdf
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Internal Medicine, Family Medicine·Prior Authorization
Effective date
May 1, 2019
We identified it
Jun 20, 2026
Summary
Effective May 1, 2019, Connecticut Medicaid eliminated prior authorization requirements for behavioral health professional services provided by physicians, APRNs, and physician assistants during medical inpatient stays. This simplifies billing for behavioral health consultations and services during medical hospitalizations.
Action Required
Immediately: Billing teams in Connecticut should update workflows to stop requesting prior authorization for behavioral health professional services provided during medical inpatient stays (POS 21). Update billing system notes to reflect that PA is no longer required for these services under Connecticut Medicaid. Continue obtaining authorization for the underlying medical inpatient admission through CHNCT.