CarePartners of Connecticut Medical Necessity Guideline Updates
MNG Title | Effective Date | Summary |
Behavioral Health Inpatient and 24 Hour Level of Care Determinations Behavioral Health Level of Care for Non-24 Hour/Intermediate/Diversionary Services | 7/1/2024 | New MNGs intended as coverage guidelines to document existing notification processes and requirements, which utilize InterQual Medicare Behavioral Health Criteria consisting of CMS national coverage determinations (NCDs)/ local coverage determinations (LCDs). |
CarePartners of Connecticut Prior Authorization and Inpatient Notification List | 7/1/2024 | Updated format of existing CarePartners of Connecticut Prior Authorization and Inpatient Notification List, which outlines services requiring prior authorization and notification in one streamlined location for quick reference. |