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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Rystiggo (rozanolixizumab-noli)
  • Medical Necessity Guidelines
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Saphnelo (anifrolumab-fnia)
  • Medical Necessity Guidelines
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Saphnelo (anifrolumab-fnia) (Eff. beginning 1.1.25)
  • Medical Necessity Guidelines
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Scenesse (afamelanotide)
  • Medical Necessity Guidelines
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Serious Reportable Events, Serious Reportable Adverse Events and Provider Preventable Conditions Payment Policy
  • Payment Policies
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