MedicaidPrior AuthMedium impact
New Clinical Guidelines – Prior Authorization (PA) Cranial Remodeling Devices pdf
Connecticut Medicaid (HUSKY Health)·CT · Pediatrics, Neurosurgery, Plastic Surgery·Prior Authorization
Effective date
Feb 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is implementing new clinical guidelines for prior authorization of cranial remodeling devices effective February 1, 2018. Providers must submit detailed clinical information supporting medical necessity, and requests pending for 20 business days without required documentation will be denied.
Action Required
Before February 1, 2018: Billing team must ensure all cranial remodeling device prior authorization requests for Connecticut Medicaid patients include comprehensive clinical documentation supporting medical necessity. Update workflow to submit PA requests via fax using Outpatient PA Request Form or through the medical prior authorization web portal at www.ct.gov/husky. Train staff that incomplete requests will be held pending for 20 business days before denial.