All PlansPrior AuthMedium impact
DSS Important Message - Updates to Skin Substitutes Listed on the Physician Office and Outpatient Fee Schedule
Connecticut Medicaid (HUSKY Health)·CT · Dermatology, Plastic Surgery, Wound Care +1 more·Reimbursement
Effective date
Jul 1, 2026
We identified it
Jul 23, 2026
Summary
Effective July 1, 2026, prior authorization is no longer required for select skin substitutes on the physician office and outpatient fee schedule. Billing teams must review the updated fee schedule to identify which skin substitute codes no longer require prior authorization and update their workflows accordingly.
Action Required
By June 30, 2026: Billing team must obtain and review the current physician office and outpatient fee schedule from interChange (DSS) to identify all skin substitute codes affected by this change. Update billing software to remove prior authorization requirements for the specified skin substitute codes. Notify all providers and clinical staff that prior authorization is no longer needed for select skin substitutes effective July 1, 2026. Train billing staff to process skin substitute claims without requesting prior authorization for affected codes. Failure to update workflows may result in unnecessary claim delays from submitting prior authorization requests for services no longer requiring them.