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Updated Consent to Sterilization Form Posted to Web Portal

Connecticut Medicaid (HUSKY Health)·CT · OB-GYN, Urology, General Surgery·Provider Bulletin
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has posted updated Consent to Sterilization forms in English and Spanish to their web portal. Healthcare providers performing sterilization procedures must use the new federal forms (OMB No. 0937-0166) available on the CMAP website.

Action Required

Action needed
Immediately: Providers performing sterilization procedures must download and begin using the updated Consent to Sterilization forms from www.ctdssmap.com under Information > Publications > Forms section. Replace any older versions of the consent forms with the new federal forms OMB No. 0937-0166 in both English and Spanish as appropriate.