MedicaidPrior AuthHigh impact
Implementation of Affordable Care Act Mandate: Prior Authorization of Inpatient, Outpatient and Professional Services - OPR Requirement
Connecticut Medicaid (HUSKY Health)·CT·Prior Authorization
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) is implementing new prior authorization requirements for inpatient, outpatient, and professional services as part of an Affordable Care Act mandate. Healthcare providers must now obtain prior authorization approval before delivering these services to HUSKY Health members.
Action Required
Immediately: Billing and authorization teams must access the full policy document at the provided URL to understand specific prior authorization requirements. Update workflows to obtain prior authorization for inpatient, outpatient, and professional services before treatment delivery. Train staff on new authorization processes to prevent claim denials.