Current issue: November 1, 2019 Provider Update

The latest news for our providers, including coverage updates, coding reminders, mandates, plan changes, requirements and more.


CarePartners of Connecticut distributes its Provider Update newsletter by email. In order to receive Provider Update, you must complete the online registration form by registering your email. 

Oct 31, 2019

Effective for dates of service on or after January 1, 2020, CarePartners of Connecticut will no longer require PCPs to issue a referral when a member is seeing an in-network provider or specialist.

Oct 31, 2019

Noncovered Drugs

Oct 31, 2019

New Prior Authorization Programs

Oct 31, 2019

Prior Authorization Requests
Per CMS requirements and effective for dates of service on or after January 1, 2020, the following changes will be implemented to Medicare Part B drug time frames:

Oct 31, 2019

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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