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Welcome to the Connecticut Medical Assistance Program Web site, provided by Gainwell Technologies on behalf of the Connecticut Department of Social Services. This site provides important information to health care providers about the Connecticut Medical Assistance Program. This site contains a wealth of resources for providers including enrollment, billing manuals, bulletins, program regulations, plus information on Electronic Data Interchange and the Automated Eligibility Verification System.
 
Important Messages
 

Hospital Monthly Important Message (Posted 11/18/24)

Attention Outpatient Hospitals and Outpatient Chronic Disease Hospitals: Prior Authorization Required for Specific J-codes (Posted 11/8/24)

Attention Home Health Care Agencies (HHA) and Access Agencies (AA) providing in home services and supports to Medicaid members: Announcing Round 2 In- Home Safety Enhancement Applications (Posted 11/7/24)

Attention Substance Use Disorder (SUD) Ambulatory Providers: SUD Ambulatory Certification Letter Upload Instructions and Billing Reminder - Updated November 7, 2024 (Posted 11/7/24)

Attention Home Health, Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism and Mental Health (MH) Waiver Service Providers: 1. UPDATE Regarding Claim Denials for Electronic Visit Verification (EVV) Mandated Services for Dates of Service July 1, 2024 and forward (Posted 11/7/24)

Attention Outpatient Hospitals: CMAP Addendum B Updated October 1, 2024 (Posted 10/30/24)

Attention Inpatient Hospitals: 3M Grouper and DRG Calculator for ICD-10-CM Updates (Posted 10/30/24)

Attention Home Health, Acquired Brain Injury (ABI), Autism, Connecticut Home Care (CHC), Mental Health (MH), and Personal Care Assistant (PCA) Waiver Service Providers: Claim Denials for Electronic Visit Verification (EVV) Mandated Services (Posted 10/15/24)

Attention Prescribing Providers and Pharmacies: Updated Pharmacy Prior Authorization Fax Number (Posted 10/3/24)

Attention CTBHP Behavioral Health Providers Enrolled in Independent Practice and Group Practices, Psychologists, Licensed Marital and Family Therapists, Licensed Clinical Social Workers, Licensed Professional Counselors, Licensed Alcohol and Drug Counselors: REMINDER Attestation Completion Deadline is August 1, 2024, for Behavioral Health Groups and Clinicians (Posted 7/31/24)

ATTENTION Obstetrics & Gynecology and Family Practice Physicians and APRNs, Women's Health APRNs and Certified Nurse Midwives: Register for the HUSKY Maternity Bundle Provider Forum (Posted 2/12/24)

Attention All Providers: Revised CT Medical Assistance Program (CMAP) Telehealth Table - Updated the end date to 2024 (Posted 12/27/23)

Procedures for Updating Client Third Party Liability Information NEW HMS Phone Number: 1-866-252-0671 (Posted 6/7/23)

HUSKY Health Primary Care Payment Program Extension Notification


Click here for Archived Messages

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