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Site Details
Site: C
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
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)
Hospital Monthly Important Message (Posted 10/11/24)
Attention Substance Use Disorder (SUD) Ambulatory Providers: ACTION REQUIRED: SUD Ambulatory Certification Letter Upload Instructions (Posted 10/3/24)
Attention Prescribing Providers and Pharmacies: Updated Pharmacy Prior Authorization Fax Number (Posted 10/3/24)
UPDATE Regarding Claim Denials for Electronic Visit Verification (EVV) Mandated Non-Waiver Home Health Services (Posted 9/20/24)
Attention Family Planning Clinic, School Based Health Clinic, Ambulatory Surgical Center, Rehabilitation Facility, Medical Clinic, Medical FQHC & Tribal Services Medical (FQHC), Behavioral Health Clinic, and Enhanced Care Clinic (ECC) Providers: Recent Recoupment of Claims (Posted 9/13/24)
Attention Home Health Providers, Acquired Brain Injury (ABI), Autism, Connecticut Home Care (CHC), Mental Health (MH), and Personal Care Assistant (PCA) Waiver Service Providers: URGENT Transition from Sandata Mobile to Sandata Mobile Connect effective September 4, 2024 (Posted 8/27/24)
Attention Home Health Care Agencies and Access Agencies providing home services and supports to Medicaid members: In-Home Safety Enhancements Updates (Posted 8/21/24)
Attention Board Certified Behavioral Analysts, Behavioral Health Clinics, Rehabilitation Clinics, Medical Clinics, School-Based Health Clinics, Outpatient Hospitals, Physicians, Physician Assistants, Advance Practice Registered Nurses, Psychologists and Behavioral Health Clinician Providers: Reimbursement Rate Increases for Select Behavioral Health Services for Children (Posted 8/20/24)
Attention Home Health Agency (HHA) Providers: URGENT: ACTION REQUIRED to receive 2% rate increase through value-based payments (VBP) (Posted 8/19/24)
Attention Home Health Providers: Claim Denials for Electronic Visit Verification (EVV) Mandated Non-Waiver Home Health Services (Posted 8/19/24)
Attention Home and Community Based Services (HCBS) Providers: URGENT: ACTION REQUIRED to receive 2% rate increase through value-based payments (VBP) (Posted 8/19/24)
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 Outpatient Hospitals: CMAP Addendum B Updated (July 1, 2024) (Posted 7/24/24)
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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