Provider Update is CarePartners of Connecticut’s quarterly newsletter for providers, hospital administrators and ancillary providers in the CarePartners of Connecticut network. The newsletter is CarePartners of Connecticut’s primary vehicle for providing 60-day notifications...

As a routine business practice, claims are subject to payment edits that are updated at regular intervals and generally based on CMS (including the National Correct Coding Initiative [NCCI] edits), specialty society guidelines and drug manufacturers’ package label inserts.

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Changes to Existing Prior Authorization Programs
Effective for fill dates on or after October 1, 2019, CarePartners of Connecticut will require medical prior authorization for Octagam® and Synagis®. These changes will apply to members currently utilizing one of...