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Attention Outpatient Hospitals: CMAP Addendum B Updated (Posted 2/25/26)
Attention Pharmacy and Prescribing Providers: CANCELLED Pharmacy Prior Authorization Workshop (Posted 2/19/26)
Hospital Monthly Important Message (Posted 2/13/26)
Attention Physicians, Nurse Practitioners, Behavioral Health Clinicians, and Behavioral Health Clinician Groups: Claim Denial Issue for 3003 Prior Authorization Required (Posted 2/5/26)
ATTENTION Connecticut Home Health Agencies: Residential Care Home (RCH) Medication Administration Regulations (Posted 2/2/26)
Attention Physicians, Physician Assistants, APRNs, Certified Nurse Midwives and Doulas: UPDATED: Frequently Asked Questions (FAQ): Connecticut Maternity Bundle Billing and Claims (Posted 1/30/26)
Attention Ambulance Providers: Updated Guidance - Intracity / Intown Mileage (Posted 1/27/26)
Attention Home and Community Based Service (HCBS) Providers: The Department of Social Services seeks to enroll additional Autism service providers statewide to increase capacity for the Autism Waiver (Posted 1/22/26)
Attention All Provider: 2025 1099s Available on CMAP Web Site (Posted 1/22/26)
Attention Behavioral Health Federally Qualified Health Centers (FQHCs): Reminder - Please refer to Provider Bulletin 2025-48 "Performing Providers Required for Behavioral Health Federally Qualified Health Centers (FQHCs)" regarding upcoming changes (Posted 1/9/26)
Attention Acquired Brain Injury (ABI), Autism, Connecticut Home Care (CHC), Mental Health (MH), and Personal Care Assistant (PCA) Waiver Service Providers and Home Health Providers: Electronic Visit Verification (EVV) Claim Denials (Posted 1/7/26)
Attention Pharmacies, Physicians, Nurse Practitioners, Nurse Midwives, Physician Assistants, Long Term Care Providers, Clinics, and Hospitals: Reminder - New Pharmacy Clinical Prior Authorization Criteria and Prior Authorization Forms for Non-Preferred Drugs in 11 Targeted Classes (Posted 1/2/26)
Attention Inpatient Hospital Providers: DRG Calculator Updated (Posted 12/31/25)
Attention Private Psychiatric Residential Treatment Facility Providers (PRTFs): Private Psychiatric Residential Treatment Facility (PRTF) Rate Increase (Posted 12/30/25)
Attention All Providers and Trading Partners: Reminder for Accessing the www.ctdssmap.com Web site (Posted 12/9/25)
Attention Outpatient Hospitals: CMAP Addendum B Updated (July 1, 2025) (Posted 7/31/25)
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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RA Banner Announcements |
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| Banner Effective Date | Providers | Banner Page Announcement |
| 03/06/2026-03/13/2026 | Attention Select Providers | Attention Select Providers. REPROCESSED THIS CYCLE: DSS and Gainwell Technologies have identified and reprocessed claims billed for procedure code 90791 with the modifier U5 for dates of service between 10/1/2025 and 02/06/2026. Any previous claims that failed to receive prior authorization will be recouped. These claims have been reprocessed and will appear on the March 10, 2026, Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52. |
| 03/06/2026-03/13/2026 | Attention Outpatient Hospitals | Attention Outpatient Hospitals. REPROCESSED THIS CYCLE: DSS and Gainwell Technologies have identified and reprocessed claims where: the claim header DOS is on or after January 1, 2026, the claim contains a new procedure code, and the claim processed on or before February 24, 2026. These claims have been reprocessed and will appear on the March 10, 2026, Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 61 or 27. |
| 03/06/2026-03/13/2026 | Attention Select Providers | Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims which were initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The impacted claims were reprocessed to reflect the client's true (permanent) 9-digit Connecticut Medical Assistance Program (CMAP) ID. The claims which processed under a temporary client ID will be recouped and appear on the March 10, 2026 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52 and Explanation of Benefits (EOB) code 8239 "ACA CLIENT TEMP ID REPLACED WITH CMAP ID. NEW CLAIM WILL BE SYSTEMATICALLY GENERATED". New claims will also appear on the March 10, 2026 RA with an ICN beginning with region code 27. |
| 03/06/2026-03/13/2026 | Attention Pharmacy Providers | Attention Pharmacy Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims which initially paid and posted one of the following informational Ordering, Prescribing, Referring (OPR) Explanation of Benefit (EOB) codes, but for which the provider in question has since successfully enrolled in the Connecticut Medical Assistance Program (CMAP):
* EOB Code 0237-PRESCRIBING PROVIDER IS A STUDENT OR RESIDENT AND MUST BE ENROLLED TO PRESCRIBE
* EOB Code 0027-CLAIM BYPASSED EDIT 0207 DUE TO PPE AUTO-PA
* EOB Code 0207-PRESCRIBER NOT ENROLLED
* EOB Code 0028-PRESCRIBING PROVIDER IN PROCESS OF ENROLLING
* EOB Code 1040-ORDERING/REFERRING/ATTENDING PROVIDER IS NOT ENROLLED ON DATE OF SERVICE
These claims will appear on the March 10, 2026 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52. |
| 03/06/2026-03/13/2026 | Attention All Providers | Attention All Providers.
PROVIDER FILE MAINTENANCE: In order to maintain the accuracy and completeness of the Connecticut Medical Assistance Program (CMAP) network, we are requesting all providers update their provider file on a regular basis. The information that you provide is presented in the on-line provider directory at www.ct.gov/husky. Thousands of members statewide rely on the accuracy of this source of information to find a suitable health care provider. Inaccurate addresses, phone numbers, and names may affect a member's ability to contact you. To update your provider profile, the main account administrator can log into their secure Web account from the www.ctdssmap.com Web site and click on the "Demographic Maintenance" tab. Once on the Demographic Maintenance page, the provider can select from options listed as links below the Demographic Maintenance header panel. For instance, you can update your address* if you happen to move to a new location; all you have to do is click on the "Location Name Address" link, select the address to be updated, click on the "Maintain Address" button to type in the new address and then save your changes. You can also add or remove performing providers to your group practice as applicable by clicking on "Maintain Organization Members". For detailed instructions, please refer to Section 10.18 "Provider Demographic Maintenance" in Chapter 10 of the Provider Manual. The chapter is available from the Web site www.ctdssmap.com by clicking on "Publications" under Information, scrolling down to Provider Manuals and then clicking on "Web Portal/AVRS". Providers may contact the Provider Assistance Center at 1-800-842-8440 between the hours of 8:00 AM to 5:00 PM Monday through Friday if further assistance is needed in updating the information from their secure Web portal account.
*There are special instructions for PCMH providers and licensed facilities such as hospitals, pharmacies, and clinic providers for updating their service location or alternate service location addresses. Please refer to the warning messages on the Web pages, as well as Chapter 10 for additional information. |
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Click here for Archived RA Banner Announcements
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