MedicaidPrior AuthHigh impact
New Requirement for Prior Authorization of Incisional and Ventral Hernia Repairs
Connecticut Medicaid (HUSKY Health)·CT · General Surgery, Orthopedics·Prior Authorization
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) now requires prior authorization for incisional and ventral hernia repair procedures. This is a new requirement that will affect all providers performing these surgical procedures for HUSKY Health members.
Action Required
Immediately: Billing team must update system to require prior authorization for all incisional and ventral hernia repair procedures for Connecticut Medicaid (HUSKY Health) patients. Contact HUSKY Health to obtain prior authorization requirements and submission process. Update encounter forms and EMR templates to alert providers of new prior auth requirement. Claims will be denied without proper prior authorization.