MedicaidPrior AuthMedium impact
Changes to Prior Authorization Requirement for Selected Codes on Physician Fee Schedule
Connecticut Medicaid (HUSKY Health)·CT · Neurosurgery, Pain Management, Anesthesiology·Prior Authorization
Effective date
Jan 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is requiring prior authorization for 14 specific neurostimulator and drug infusion pump procedures when performed in outpatient settings, effective January 1, 2016. Claims will be denied if prior authorization is not obtained before rendering these services.
Action Required
Before January 1, 2016: Billing team must update system to require prior authorization for CPT codes 61850, 61860, 61863, 61867, 61870, 61885, 61886, 62360, 62361, 62362, 63650, 63655, 63685, 64553, 64568, and 90399 when performed in outpatient settings for Connecticut Medicaid patients. Contact CHNCT at 1-800-440-5071 or fax (203) 265-3994 to obtain authorization. Claims will be denied without prior authorization.