MedicaidPrior AuthMedium impact
Changes to Prior Authorization Requirements for Advanced Imaging and Nuclear Cardiology Services
Connecticut Medicaid (HUSKY Health)·CT · Nuclear Medicine, Radiology, Cardiology·Prior Authorization
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY A, B, C, D) is eliminating prior authorization requirements for all nuclear cardiology services and for advanced imaging (CT, MRI, PET) services for patients 18 and under, effective July 1, 2016. Adult patients 19+ will still need prior authorization for advanced imaging in outpatient settings.
Action Required
By July 1, 2016: Billing team must update prior authorization workflows for Connecticut Medicaid patients. Remove prior auth requirements for all nuclear cardiology procedures (CPT codes 78451-78496) for all ages. Remove prior auth requirements for advanced imaging (CT, MRI, PET) for patients 18 and under only. Continue requiring prior auth for advanced imaging for patients 19+ in outpatient settings.