CarePartners of Connecticut Medical Necessity Guideline Updates
Providers and office staff can refer to the following chart to review changes and updates to CarePartners of Connecticut’s Medical Necessity Guidelines, which detail coverage and prior authorization criteria.
| MNG Title | Effective Date | Summary
|
New prior authorizations for 2025
| 1/1/2025
| CarePartners of Connecticut will be newly requiring prior authorization for a number of services/codes as of Jan. 1, 2025. Please refer to this article for further information about MNGs being updated to require additional prior authorizations for 2025.
|
| 11/1/2024
| Minor criteria updates made for additional clarity:
|
Behavioral Health Inpatient and 24-Hour Level of Care Determinations Behavioral Health Level of Care for Non-24 Hour/Intermediate/Diversionary Services
| 11/1/2024
| CarePartners of Connecticut has conducted our annual review of these MNGs with no changes.
|