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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Talvey (talquetamab-tgvs)
  • Medical Necessity Guidelines
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Targeted Immunomodulators – Skilled Administration: Avsola, Cimzia, Enytvio IV, Ilumya, Inflectra, Infliximab, Orencia IV, Remicade, Renflexis, Simponi Aria, Skyrizi IV, Stelara IV, and Tremfya, Tyenne, Zymfentra
  • Medical Necessity Guidelines
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Tecartus (brexucabtagene autoleucel)
  • Medical Necessity Guidelines
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Tecvayli (teclistamab-cqyv)
  • Medical Necessity Guidelines
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Telehealth/Telemedicine Payment Policy (Eff. beginning 9.1.22)
  • Payment Policies
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