MedicaidPrior AuthHigh impact
Certificate of Need Requirement for Inpatient Admissions for Individuals Under the Age of 21
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health) now requires a Certificate of Need for all inpatient admissions of patients under age 21. This adds a new approval requirement that billing teams must obtain before admitting pediatric patients to ensure claims are not denied.
Action Required
Immediately: Billing and admissions staff must implement Certificate of Need approval process for all inpatient admissions of patients under 21 years old on Connecticut Medicaid (HUSKY Health). Update admission workflows to require Certificate of Need before scheduling inpatient stays. Train staff on new approval requirements. Claims for inpatient admissions without proper Certificate of Need will be denied.