Benefit Grids

This page provides information on HUSKY Health Program benefits and authorization requirements. Benefit information is broken down, by provider type and medical program. The contents provide a general summary of HUSKY Health benefits. For a definitive list of benefits and limitations please see CMAP fee schedules and regulations.

For more detailed information regarding the Prior Authorization process, please see the Provider Manual.

If you have any questions, please contact Provider Engagement Services:


Monday through Friday
8:00 a.m. – 6:00 p.m.


HUSKY Health Program
Attention: Benefits and Authorizations
P.O. Box 5005
Wallingford, CT 06492

HUSKY Health Program Benefit Grids

Limited Eligibility Groups


Family Planning

  • Fee Schedules - The following fee schedules include services covered under the Family Planning Limited Eligibility Benefit Group: Ambulatory Surgical Center, Family Planning Clinic, Medical Clinic, Lab, Physician Anesthesia, Physician Office and Outpatient, Physician Radiology and Physician Surgical.

This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc., the State of Connecticut’s Medical Administrative Services Organization for the HUSKY Health Program. For the general HUSKY website gateway, please visit HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services.