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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 All Providers: Data Loss: Faxed Medical Prior Authorizations (Posted 4/16/24)

Attention Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism and Mental Health (MH) Service Providers and Home Health Providers: Important Electronic Visit Verification (EVV) Update - Transition from Sandata Mobile to Sandata Mobile Connect (SMC) effective September 3, 2024 (Posted 4/15/24)

Hospital Monthly Important Message (Posted 4/15/24)

Attention Home Health Providers: Post and Pay Status for Explanation of Benefit (EOB) Code 3328 (Posted 4/10/24)

Attention Home Health Providers: Claim Denials for Electronic Visit Verification (EVV) Mandated Home Health Services (Posted 4/5/24)

Attention Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism and Mental Health (MH) Waiver Service Providers: Alternate Electronic Visit Verification (EVV) - Personal Care Services (PCS) Town Hall Session #2 and #3 Dates & Registration Links (Posted 3/28/2024)

Attention Home Health Providers: Important Electronic Visit Verification (EVV) Reminders - as of March 22, 2024

Attention Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism Waiver Service Providers and Support and Planning Coach (S&PC) Providers: New Fiscal Intermediary (FI) for Connecticut, GT Independence to support Waiver and S&PC Credentialing Process (Posted 3/22/24)

Electronic Data InterChange (EDI) Transaction and Trading Partner Updates (Posted 3/7/24)

Attention Providers and Trading Partners: Optum Change Healthcare (CHC) network service interruption (Posted 2/22/24)

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 Home Health Providers: Electronic Visit Verification (EVV) Updates as of February 9, 2024

Attention All Board-Certified Behavioral Analysts (BCBAs) and Autism Specialty Groups: BCBA Licensure Requirement for Enrollment in Connecticut Medical Assistance Program (Posted 1/31/24)

Attention Outpatient Hospitals: CMAP Addendum B Updated (January 1, 2024) (Posted 1/23/24)

Attention All Providers: 2023 1099s Available on CMAP Web Site (Posted 1/19/24)

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

Attention All Providers: CMAP Telehealth Services (Posted 11/27/23)

Attention Acquired Brain Injury, Connecticut Home Care Program, and Personal Care Services/Assistant (PCA) Providers: Prior Authorization Issue (Posted 11/22/23)

Attention Behavorial Health Clinics: UPDATE Performing Providers Required for Behavioral Health Clinic Claim Submission (Posting 9/22/23)

HUSKY Health Primary Care Payment Program Extension Notification

Click here for Archived Messages

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