Updates to Medical Necessity Guidelines
Providers and office staff can refer to the following chart to review changes and updates to CarePartners of Connecticut’s Medical Necessity Guidelines, which detail coverage and prior authorization criteria.
| Updates to Medical Necessity Guidelines (MNG) | ||
| MNG Title | Effective Date | Summary |
Intravitreal Injections and Corticosteroid Implants for Ophthalmic Conditions
| 9/1/2025
| New guideline outlining coverage of intavitreal injections and corticosteroid implant for ophthalmic conditions, when billed with appropriate diagnosis codes. Prior authorization will not be required.
|
Upper Gastrointestinal Endoscopy
| 9/1/2025
| New policy outlining coverage of Upper GI endoscopy when billed with the appropriate diagnosis code. Prior authorization will not be required.
|