Policies, Procedures, & Guidelines

The policies, procedures, and guidelines page provides information to providers in the form of clinical policies and guidelines.

Clinical policies and guidelines are utilized by Community Health Network of Connecticut, Inc. (CHNCT), when reviewing requests for the prior authorization (PA) of various goods and services. The criteria, included in the policies, are based on the best clinical evidence available. All requests are reviewed in accordance with the Department of Social Services' (DSS) definition of medical necessity. Prior authorization means the approval from the Department of Social Services (DSS), or a contracted agent (in this case CHNCT), of a service or the delivery of goods before the provider actually performs the service or delivers the goods.

To receive reimbursement from the DSS, a provider must comply with all prior authorization requirements. Obtaining PA does not guarantee payment or ensure client eligibility. It is the responsibility of the provider to verify client eligibility for the appropriate date(s) of service.

Clinical Policies

Clinical Guidelines

  • Surgical Site Infections: Preoperative Evaluation - Linked to on 10/28/18

    Linking to AAFP does not indicate their endorsement of the HUSKY Health program or any content of this website.

  • Maternal Immunization Recommendations - Linked to on 7/26/18
  • Reducing Radiation Exposure - Linked to on 1/5/18
  • NCCN Clinical Practice Guidelines® in Oncology (NCCN Guidelines®) - Linked to on 10/16/17 Link provided with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). © National Comprehensive Cancer Network, Inc. All rights reserved. To view the most recent and complete version of the guideline, go online to www.nccn.org. NATIONAL COMPREHENSIVE CANCER NETWORK®, NCCN®, NCCN GUIDELINES®, and all other NCCN Content are trademarks owned by the National Comprehensive Cancer Network, Inc.

    NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way.

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 www.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services.