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

 

Noncovered Investigational Services

 

4/1/2025

 

New MNG detailing services that will not be covered by CarePartners of Connecticut due to being considered experimental/investigational. For more information specific to this change, please see this article .

 

Intensity Modulated Radiation Therapy

 

1/1/2025

 

Effective retroactively to Jan. 1, 2025, prior authorization is no longer required for CPT code 77387 or HCPCS code G6017.