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Compression Garments (A6549/A4465) Coverage Guidelines pdf

Connecticut Medicaid (HUSKY Health)·CT · Wound Care, Vascular Surgery, General Surgery +3 more·Provider Bulletin
Effective date
Jun 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is implementing new coverage guidelines for compression garments (codes A6549/A4465) effective June 1, 2018. Prior authorization will be required with enhanced clinical documentation requirements, and requests may be denied if sufficient supporting information is not provided within 20 business days.

Action Required

Action needed
Before June 1, 2018: Billing team must update prior authorization procedures for compression garments A6549/A4465 for Connecticut HUSKY Health members. Ensure providers submit complete clinical documentation supporting medical necessity with all PA requests via fax to (203) 265-3994 or web portal. Train staff that incomplete requests will pend for 20 business days before denial.

Affected Billing Codes

A6549
A4465