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MedicaidPrior AuthMedium impact

New Genetic Testing Prior Authorization Forms pdf

Connecticut Medicaid (HUSKY Health)·CT · Diagnostic Imaging, Oncology, OB-GYN +2 more·Prior Authorization
Effective date
May 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid now requires all genetic testing prior authorization requests to use newly created specific forms - either the Genetic Testing Prior Authorization Request Form or the Whole Exome Sequencing and Whole Genome Sequencing Prior Authorization Request Form. Requests must be faxed to CHNCT with supporting clinical documentation or face denial after 20 business days.

Action Required

Action needed
By May 1, 2018: Billing team must download the new Genetic Testing Prior Authorization Request Form and Whole Exome Sequencing/Whole Genome Sequencing Prior Authorization Request Form from www.ct.gov/husky (For Providers > Prior Authorization Forms and Manuals). Update workflow to use these specific forms for all Connecticut Medicaid genetic testing prior authorizations and fax completed forms with clinical documentation to CHNCT at (203) 265-3994. Failure to use proper forms or provide documentation will result in pended status and potential denial after 20 business days.