What documentation is required in order to obtain prior authorization?
Please refer to the Connecticut Medical Assistance Program Policy Transmittal 2010-03 which details the documentation requirements by service category. Documentation requirements do not vary by dental specialty If the required documentation is not supplied with the original prior authorization or post procedure authorization request, or if additional documentation is needed, CTDHP/BeneCare will request the missing documentation in writing. Please note that sending the required documentation with the original request will ensure the most prompt response. Documentation will be returned to the submitting office.
