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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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Prior Authorization, Notification, and No Prior Authorization list (Eff. beginning 1.1.25)
  • Medical Necessity Guidelines
Provenge (sipuleucel-T)
  • Medical Necessity Guidelines

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