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MedicaidPrior AuthMedium impact

New Clinical Guidelines-Prior Authorization of Bathing and Toileting Equipment

Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy·Prior Authorization
Effective date
May 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid (HUSKY Health) is implementing new clinical guidelines requiring prior authorization for bathing and toileting equipment, with detailed documentation requirements. Claims submitted without sufficient clinical information will be pended for up to 20 business days before potential denial.

Action Required

Action needed
By May 1, 2017: Medical equipment providers, occupational therapists, physical therapists, and registered nurses must begin following new clinical guidelines when submitting prior authorization requests for bathing and toileting equipment to Connecticut Medicaid. Review detailed documentation requirements on HUSKY Health website and ensure all clinical information supporting medical necessity is included with PA requests. Use existing submission methods (fax Outpatient PA Request Form or medical prior authorization web portal). Incomplete requests will be pended for 20 business days then denied.