Back to dashboard
MedicaidPrior AuthMedium impact

New Clinical Guidelines – Prior Authorization (PA) Electric Tumor Treatment Field Therapy pdf

Connecticut Medicaid (HUSKY Health)·CT · Oncology, Neurology·Prior Authorization
Effective date
Nov 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is implementing new prior authorization requirements for Electric Tumor Treatment Field Therapy effective November 1, 2017. Providers must submit clinical documentation supporting medical necessity, and requests without sufficient information will be pended for up to 20 business days before potential denial.

Action Required

Action needed
By November 1, 2017: Providers treating Connecticut Medicaid patients must obtain prior authorization for Electric Tumor Treatment Field Therapy using the Outpatient PA Request Form or web portal. Include comprehensive clinical documentation supporting medical necessity. Contact CHNCT at 1-800-440-5071 for PA questions. Failure to provide sufficient documentation within 20 business days will result in denial.