Husky_health Prior Authorization Lookup
Latest Husky_health prior authorization updates25
- Prior AuthClinical/Medical PolicyEff. 2026-08-01Baroreflex stimulation device (baroreflex activation therapy) coverage criteriaDefines HUSKY Health prior authorization and medical necessity guidelines for implantation, interrogation, evaluation, revision, and removal of baroreflex stimulation devices for Connecticut Medicaid (HUSKY) members.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-08-01Corneal Cross‑linking (CXL) ProcedureDefines medical necessity, prior authorization requirements, coverage criteria, and documentation needed for corneal cross-linking (CXL) for members of the HUSKY Health (Connecticut Medicaid) program.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-08-01Corneal surgical procedures (excluding corneal collagen cross-linking)Defines prior authorization requirements and medical necessity review criteria for corneal surgical procedures (other than corneal collagen cross-linking) for providers enrolled in the Connecticut Medical Assistance Program (HUSKY Health). Affects CMAP providers requesting authorization for listed corneal surgeries.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-08-01Focal Treatment for Prostate Cancer (TULSA / TULSA‑Pro and Irreversible Electroporation)Governance of prior authorization and medical necessity determinations for focal therapies (TULSA/TULSA‑Pro and irreversible electroporation) for individuals enrolled in Connecticut's HUSKY Health programs; intended for CMAP providers requesting coverage.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-08-01Treatment and/or Interventions for Benign Prostatic Hyperplasia (BPH)Governs medical necessity and prior authorization criteria for selected minimally invasive and surgical BPH treatments for HUSKY Health (Connecticut Medicaid) providers seeking coverage for members.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-03-01Spinraza (nusinersen) prior authorization and coverageDefines clinical and administrative requirements for prior authorization, initial approval, and reauthorization of intrathecal Spinraza (nusinersen) for treatment of spinal muscular atrophy (SMA) for HUSKY Health (Connecticut Medicaid) providers.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-02-01Double balloon enteroscopy (DBE) coverage criteriaDefines medical necessity, prior authorization, and documentation requirements for double balloon enteroscopy for Connecticut Medicaid (HUSKY) providers, affecting CMAP-enrolled providers and beneficiaries under HUSKY programs.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-02-01Electronic Spirometry for Home UsePolicy governing prior authorization, medical necessity, and coverage criteria for electronic (home) spirometers for Connecticut Medicaid (HUSKY Health) providers and enrolled patients.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-02-01Non-pneumatic compression devices (NPCDs) and garmentsProvider guidance for prior authorization and medical necessity determinations for non-pneumatic compression devices and garments (e.g., Venowave VW5) for individuals covered under HUSKY programs. Affects Connecticut Medicaid (HUSKY A, B, C, D) providers submitting DME requests.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2026-01-01Habilitative Therapy Services (Physical, Occupational, and Speech Therapy) for Individuals Diagnosed with Intellectual Disability/Developmental Delay/Autistic Disorder/Other Developmental DisorderPolicy governing prior authorization, coverage criteria, and procedural requirements for habilitative physical, occupational, and speech therapy for individuals whose primary diagnosis is intellectual disability, developmental delay, autism, or other developmental disorder for HUSKY Health (Connecticut Medicaid) providers.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-12-01Itvisma (onasemnogene abeparvovec-brve) — intrathecal gene therapy coverage criteriaDefines medical necessity, prior authorization requirements, and documentation needed for one-time intrathecal administration of Itvisma for members of the Connecticut HUSKY Health (Medicaid) program aged 2 years and older with confirmed 5q SMA.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-11-01Doula services prior authorization and coverageDefines medical necessity, coverage, limitations, and prior authorization requirements for certified doula services for Connecticut Medical Assistance Program (HUSKY Health) enrollees.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-11-01External urinary and/or fecal collection system for home useDefines HUSKY Health coverage and prior authorization guidance for external urine and/or fecal collection systems (home-use suction-based devices) for Connecticut Medicaid enrollees, and explains the medical necessity stance and review procedures for providers.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-11-01Home use of Intermittent Positive Pressure Breathing (IPPB) devicesDefines medical necessity, prior authorization requirements, and coverage rules for rental IPPB devices provided for use in the home setting to HUSKY Health (Connecticut Medicaid) enrollees.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-11-01Medical Nutrition Therapy (MNT) Coverage CriteriaGovernance of coverage, prior authorization, provider qualifications, and documentation requirements for Medical Nutrition Therapy (MNT) for HUSKY Health (Connecticut Medicaid) members.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-11-01Radiofrequency ablation for thyroid nodules — Coverage criteriaDefines medical necessity, prior authorization, and coverage criteria for radiofrequency ablation (RFA) of thyroid nodules for HUSKY Health (Connecticut Medicaid) providers.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-09-12Medical Equipment, Device, and Supplies (MEDS) Coverage and Prior Authorization GridGovernance of coverage, prior authorization requirements, and benefit limits for Durable Medical Equipment (DME), supplies, prosthetics/orthotics, diabetic supplies, nutritional formulas, oxygen, hearing aids, and related MEDS services for HUSKY Health members.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-08-29KISUNLA (donanemab-azbt) coverage and prior authorizationDefines medical necessity, prior authorization requirements, and coverage criteria for KISUNLA (donanemab-azbt) for treatment of early Alzheimer's disease for HUSKY Health (Connecticut Medicaid) providers.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-08-01Orthognathic (Jaw) Surgery and Associated ProceduresPrior authorization and medical necessity criteria for orthognathic surgery and associated procedures for providers enrolled in the Connecticut Medical Assistance Program (HUSKY Health). Applies to requests for coverage and prior authorization review processes.All husky_health updates
- Prior AuthReimbursement/Payment PolicyEff. 2025-07-01Certified Dietitian-Nutritionist — Medical Nutrition Therapy (MNT) coverage and billingDefines coverage, billing, and prior authorization requirements for Medical Nutrition Therapy (MNT) services provided by certified dietitian-nutritionists to HUSKY Health members (HUSKY A, B, C, D), including limits, required ordering providers, and billing codes.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-06-01Skin Substitutes — Coverage and Prior Authorization (Non‑Hospital Outpatient)Rules and prior authorization requirements for use of bioengineered skin and soft tissue substitutes in non-hospital outpatient settings for Connecticut Medicaid (HUSKY Health) providers; focuses on diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs).All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-06-01Temporomandibular joint (TMJ) disorder surgery and associated proceduresDefines medical necessity, prior authorization requirements, and coverage criteria for surgical and associated procedures to treat TMJ disorder for HUSKY Health (Connecticut Medicaid) providers.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-05-01Neuromuscular Electrical Stimulation (NMES) DevicesGuidance for Connecticut Medicaid (HUSKY Health) providers on medical necessity, prior authorization requirements, and coverage determinations for NMES devices (HCPCS E0745 and E0744). Applies to CMAP-enrolled providers requesting NMES for HUSKY enrollees.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-05-01TheraBionic P1 device coverage (coverage criteria)Governs prior authorization and coverage determination for the TheraBionic P1 intrabuccal RF EMF device for Connecticut Medicaid (HUSKY) enrollees; applies to providers requesting coverage under HUSKY A, B, C, and D.All husky_health updates
- Prior AuthClinical/Medical PolicyEff. 2025-02-25Lyfgenia (lovotibeglogene autotemcel) — Prior Authorization and Coverage CriteriaPrior authorization policy for one-time administration of Lyfgenia for eligible Connecticut Medicaid (HUSKY Health) members with sickle cell disease; describes medical necessity criteria, required documentation, and procedural requirements for providers.All husky_health updates
1–25 of 125
1 / 5
Tool Description
Search Husky_healthprior authorization policies by drug name, procedure, or policy title. Results include any policy that mentions prior authorization requirements (drug coverage criteria, imaging guidelines, site-of-service rules) not just documents titled “prior authorization.” Every result links to a full policy page with clinical criteria, covered billing codes, documentation requirements, and effective dates.
Filter by payer, specialty, policy type, or effective year; or search directly for a drug (“Wegovy,” “Ozempic”), a procedure (“MRI,” “knee arthroplasty”), or a policy number.
Coverage spans 110+ payers. Jump straight to the busiest prior-auth publishers: UnitedHealthcare, Cigna, Aetna, Anthem, and Centene. You can also browse the full policy updates feed.
Pair a prior-auth search with the billing code lookup to confirm the CPT or J-code on the claim, the payer lookup for plan footprint, and payer profiles for contacts and coverage context.
FAQ
Type a drug name (“Wegovy,” “Ozempic”), a procedure (“MRI,” “knee”), or a policy title into the search bar. Filter results by payer, specialty, policy type, or effective year. Open any result for the full policy page with clinical criteria, covered billing codes, documentation requirements, and effective dates.
Prior Authorization by Payer
Go deeper
Explore OpenPayer Data
Prior auth requirements change all the time. Keep up with every payer policy update in the live policy feed, or browse payers with prior authorization policies.
Toolbox
More OpenPayer Tools
- Billing Code LookupSearch CPT, HCPCS, J-codes, DRG, and dental codes by number or procedure name.
- Healthcare Provider & Facility LookupFind hospitals and healthcare facilities by name, taxonomy, facility type, ownership, or state.
- Health Insurance Payer LookupSearch national health insurance payers and health plans by name and state presence.
- Provider Taxonomy Code LookupSearch NUCC taxonomy codes by code, specialty, grouping, or classification.
- CPT Modifier LookupSearch CPT modifiers by code or name — descriptions, when to use them, and payer policy context.
- Timely Filing LookupFind payer timely filing policies: claim deadlines, corrected claim windows, and appeal timeframes.
- Coverage Criteria LookupSearch payer coverage criteria and medical necessity requirements by drug, procedure, or payer.
- Payer Contact DirectoryClaims, prior authorization, provider services, and appeals contacts for health insurance payers.
Published by
Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.