MedicaidPrior AuthMedium impact
Change in Timeframe for Requesting Authorization for Retroactive Eligibility
Connecticut Medicaid (HUSKY Health)·CT·Prior Authorization
Effective date
Jan 1, 2015
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid changed the timeframe for requesting authorization when patients receive retroactive eligibility. Providers now have 30 calendar days from when eligibility is granted (not from admission date) to submit authorization requests for hospital stays.
Action Required
Immediately: Billing team must update workflow to track when retroactive Medicaid eligibility is granted for hospital admissions. Set up 30-day deadline tracking from eligibility grant date (not admission date). Verify eligibility through Secure Web Portal at www.ctdssmap.com or AEVS, retain verification numbers, and submit authorization requests with clinical documentation to CHNCT within 30 days. Contact CHNCT at 1-800-440-5071 for process questions.