Provider Resource Center

Accessing InterQual criteria: Some of our Medical Necessity Guidelines utilize InterQual® criteria, as detailed in applicable policies. You may view this criteria on the Optum One Health website. For more information, please refer to these instructions on creating a One Healthcare ID and setting up an authenticator for use with the One Healthcare ID.  

Refer to Coronavirus Updates for Providers for the most up-to-date information about CarePartners of Connecticut’s policies and coverage pertaining to COVID-19.

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ONPATTRO (patisiran)
  • Medical Necessity Guidelines
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Opdualag (nivolumab and relatlimab-rmbw)
  • Medical Necessity Guidelines
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Orthotic and Prosthetic Payment Policy
  • Payment Policies
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Out-of-Network Coverage at In-Network Level of Benefits and Continuity of Care Prior Authorization Form
  • Forms
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