MedicaidPrior AuthMedium impact
interChange Provider Important Message Attention: Outpatient Hospitals - Prior Authorization Requirement for Supprelin (J9226) and PuraPlay (Q4172)
Connecticut Medicaid (HUSKY Health)·CT · Oncology, Wound Care·Prior Authorization
Effective date
May 18, 2017
We identified it
Jun 20, 2026
Summary
Outpatient hospitals must now obtain prior authorization for Supprelin LA (J9226) when they buy and bill for the medication themselves, and for PuraPly (Q4172). Authorization requests must be submitted through CHNCT via the HUSKY Health website portal.
Action Required
Immediately: Outpatient hospital billing teams must implement prior authorization requirements for J9226 (Supprelin LA) when hospital purchases and bills for medication, and Q4172 (PuraPly). Update billing system to flag these codes for PA verification. Submit authorization requests to CHNCT through www.ct.gov/husky portal under 'For Providers' then 'Prior Authorization'. Contact CHNCT at 1-800-440-5071 for questions. Claims will be denied without proper authorization.