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)
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| MNG Title | Effective Date | Summary |
CarePartners of Connecticut Prior Authorization, Notification, and No Prior Authorization Medical Necessity Guidelines (Cervical Fusion section)
| 10/1/2025
| Removing prior authorization requirement from CPT codes 22800, 22802, 22808, 22810, and 22812.
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Tonic Motor Activation for the Treatment of Restless Leg Syndrome
| 8/1/2025
| New MNG. HCPCS codes E0743 (external lower extremity nerve stimulator) and A4544 (electrode for external lower extremity nerve stimulator for restless leg syndrome) now covered with prior authorization.
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