Section 17b-262-1000 - Prior authorization requirements(a) In order to receive payment from the department, each FQHC shall comply with all prior authorization requirements. The department in its sole discretion determines what information is necessary to approve a prior authorization request. Prior authorization does not guarantee payment unless all other requirements for payment are met.(b) The department shall designate services that require prior authorization or registration on the department's fee schedule, on the department's website or by other means accessible to providers with advance written notice to providers before establishing or amending such requirements. Registration may serve in lieu of prior authorization only if the department designates a service as requiring registration but not prior authorization. Prior authorization is also required for the following:(1) Dental procedures or services that require prior authorization as set forth on the dental fee schedule;(2) Chiropractic services in excess of 5 encounters per month;(3) EPSDT Special Services; and(4) Any procedure or service that is not listed on the department's medical clinic, behavioral health clinic or dental fee schedule as applicable.(c) The provider shall attach a prescription from a physician, APRN or PA to all prior authorization requests for EPSDT Special Services. The provider may attach a physical or electronic copy of the prescription from the licensed practitioner to the prior authorization request in lieu of the actual signature of the licensed practitioner on the prior authorization request form. The provider shall keep the original prescription on file and subject to the department's review.(d) The length of the initial prior authorization or registration period shall be for no longer than three months except as follows:(1) For longer periods as determined by the department on a case-by-case basis; and(2) For up to one year for routine psychotherapy.(e) If the client needs a service beyond the initial authorization period, the provider may request authorization to continue services for up to six additional months of continued treatment per request.(f) If the department denies a request for prior authorization for continuation of services, the recipient may request an administrative hearing in accordance with section 17b-60 of the Connecticut General Statutes.Conn. Agencies Regs. § 17b-262-1000