MedicaidPrior AuthMedium impact
New Clinical Guidelines – Prior Authorization (PA) of Compressive Orthoses for Correction of Pectus Carinatum and Excavatum, Genetic Cancer Susceptibility Panels Using Next Generation Sequencing, Orthognathic Surgery, Intrapulmonary Percussive Ventilation Systems for Home Use pdf
Connecticut Medicaid (HUSKY Health)·CT · Orthopedics, Oral & Maxillofacial Surgery, Oncology +1 more·Prior Authorization
Effective date
Aug 1, 2017
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is implementing new clinical guidelines requiring prior authorization for four specific services: compressive orthoses for pectus deformities, genetic cancer panels, orthognathic surgery, and home intrapulmonary percussive ventilation systems. Providers must submit detailed clinical documentation supporting medical necessity, and requests without sufficient information will be denied after 20 business days.
Action Required
By August 1, 2017: Billing team and providers must implement prior authorization requirements for compressive orthoses (pectus deformities), genetic cancer susceptibility panels, orthognathic surgery, and home intrapulmonary percussive ventilation systems for Connecticut Medicaid patients. Update billing workflows to ensure PA requests include comprehensive clinical documentation supporting medical necessity. Access new clinical guidelines at www.ct.gov/husky under Medical Management. Submit PA requests via fax or web portal - requests lacking documentation will be denied after 20 business days.