Updates to Medical Necessity Guidelines

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

 

Intensity Modulated Radiation Therapy (IMRT)

 

12/31/2025

 

We have temporarily retired the Intensity-Modulated Radiation Therapy (IMRT) Medical Necessity Guidelines, as the codes listed as requiring prior authorization on the MNG are being discontinued as of Dec. 31, 2025. 

As a result, prior authorization is currently no longer required for IMRT. We will continue to evaluate prior authorization requirements in the future, and will provide appropriate notice in the event that authorization is reinstated.