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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
 

Attention Behavioral Health Providers: Claims Processing Issue (Posted 11/24/21)

Attention Home and Community Based Providers: Connecticut Home and Community Based Services (HCBS) American Rescue Plan Act (ARPA) Program: Strengthening Quality - Provider Value Based Payment (VBP) Initiative (Posted 11/24/21)

COVID-19 Information and FAQs (Updated 11/19/21)

Attention Outpatient Hospitals: Ambulatory Payment Classification (APC) Weight Corrections (Posted 11/10/21)

Hospital Monthly Important Message (Posted 11/8/21)

Postponed: Task to Service Enhancement for Sandata Agency Management (SAM) - Electronic Visit Verification (EVV) (Posted 11/2/21)

Attention Pharmacy and Durable Medical Equipment Providers: Pharmacy Coverage of V-Go Products (Posted 10/28/21)

New Face-to-Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipment (DME) Updated as of 10/19/21

Attention All Providers: CDC Health Update: Expansion of Recall of LeadCare Blood Lead Tests Due to Risk of Falsely Low Results (Posted 10/14/21)

RESCHEDULED: Attention All Providers - Discontinuation of Internet Explorer Support (Updated 10/13/21)

Attention Inpatient Hospital Providers: Inpatient Delivery Stays and Prior Authorization (PA) Reminder (Posted 10/8/21)

Attention All Dental Providers: Diagnosis Code Requirements for Dental Claims (Posted 9/7/21)

Attention All Providers: Reminder: Prior Authorization (PA) Requirements Reinstated: PB 2021-26: REVISED Reinstating PA Requirements that were Suspended During the PHE (Posted 6/14/21)

Attention All Providers: CMAP COVID-19 Telehealth (audio-visual and telephone-only) Policies (Posted 5/18/21)

Program Year 2020 - Objective 5 Pre-Payment Requirements (Posted 11/16/20)

HUSKY Health Primary Care Payment Program Extension Notification


Click here for Archived Messages

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