MedicaidPrior AuthMedium impact
Addition of Prior Authorization Requirements for Two Dental Codes pdf
Connecticut Medicaid (HUSKY Health)·CT · Dentistry·Prior Authorization
Effective date
Sep 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is requiring prior authorization for two dental codes effective September 1, 2018: D7997 (appliance removal by different dentist) and D8692 (replacement of lost/broken retainer). Prior authorization requests must be submitted to BeneCare Dental Plans with specific documentation requirements for each code.
Action Required
By September 1, 2018: Dental billing teams must update systems to require prior authorization for codes D7997 and D8692 for HUSKY Health members. Submit PA requests to BeneCare Dental Plans via www.ctdhp.com or mail to P.O. Box 40109, Philadelphia, PA 19106-0109. Include specific documentation: for D7997 - device type, removal reason, and duration in mouth; for D8692 - time without retainer and reason for loss/breakage. Claims without prior authorization will be denied.