MedicaidPrior AuthMedium impact
New Non-invasive Prenatal Testing for Fetal Aneuploidy Prior Authorization Request Form pdf
Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Family Medicine·Prior Authorization
Effective date
Feb 1, 2019
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) now requires providers to use a specific prior authorization form for non-invasive prenatal testing for fetal aneuploidy. The form must be completed by the ordering provider and faxed by the laboratory to CHNCT for approval.
Action Required
By February 1, 2019: Providers ordering non-invasive prenatal testing for fetal aneuploidy must complete the new HUSKY Health prior authorization form (POPPR-OT54433-1118). Laboratories must fax completed forms to CHNCT at (203) 265-3994. Update workflows to ensure proper form completion including risk factors documentation and patient counseling confirmation. Claims without proper prior authorization will be denied.