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Attention Home and Community Based Service (HCBS) and Home Health Providers: PAYMENT DATE CHANGE: Important Update regarding Value Based Outcome Payments (Posted 11/21/25)
Attention Autism Spectrum Disorder (ASD) Providers: Addition of Autism Spectrum Disorder (ASD) services for the HUSKY B population (Posted 11/21/25)
Hospital Monthly Important Message (Posted 11/17/25)
Attention Home and Community Based Service (HCBS) and Home Health Providers: Important Update regarding Value Based Outcome Payments (Posted 11/14/25)
Attention Home and Community Based Waiver Providers, Homemaker and Companion Agencies: Reminder Background Check Requirement (Posted 11/12/25)
Attention All Providers and Trading Partners: EXTENDED SYSTEM DOWNTIME NOTIFICATION (Posted 11/12/25)
Attention All Inpatient Hospital Providers: 3M Grouper and DRG Calculator for ICD-10-CM Updates (Posted 10/29/25)
Attention Outpatient Hospitals: CMAP ADDENDUM B Updated (October 29, 2025) (Posted 10/28/25)
Attention Home Health Agencies: Update on Care of Older People in their Environment (COPE)/Confident Caregiver (Posted 9/8/25)
Attention Occupational Therapist (OT) Groups and Individual OTs: Sign up to become a Care of Older People in their Environment (COPE)/Confident Caregiver provider (Posted 9/8/25)
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) Reminder: How to Contact Sandata Customer Care (Posted 8/6/25)
Attention Outpatient Hospitals: CMAP Addendum B Updated (July 1, 2025) (Posted 7/31/25)
Attention Physicians, Physician Assistants, Advanced Practice Registered Nurses, Certified Nurse-Midwives, Medical Clinics and Federally Qualified Health Centers:
REMINDER: Connecticut Medical Assistance Program (CMAP) Coverage of Behavioral Health Screenings in Primary Care (Posted 7/21/25)
Attention Physicians, Physician Assistants, APRNs, Certified Nurse Midwives and Doulas: Frequently Asked Questions (FAQ): Connecticut Maternity Bundle Billing and Claims (Posted 5/29/25)
Attention ICF/IID Providers: Supplemental Public Notice (Posted 5/20/25)
Attention Acquired Brain Injury (ABI), Autism, CT Home Care (CHC), Personal Care Assistance (PCA) Waiver Service Providers and Community First Choice (CFC) Support and Planning (S&P) Coach Service Providers: IMPORTANT Information on the Medicaid Provider Re-enrollment Process (Posted 5/8/25)
Attention Substance Use Disorder (SUD) Ambulatory Providers: SUD Ambulatory Certification Letter Upload Instructions and Billing Reminder - Updated November 7, 2024 (Posted 11/7/24)
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 |
| 12/05/2025-12/12/2025 | 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. |
| 12/05/2025-12/12/2025 | Attention Select Providers | Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims which 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 December 10, 2025 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 December 10, 2025 RA with an ICN beginning with region code 27. |
| 12/05/2025-12/12/2025 | 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 December 10, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52. |
| 12/05/2025-12/12/2025 | Attention Select Providers | Attention Select Providers. PROCESSED THIS CYCLE: Home and Community Based Services (HCBS) providers who qualified to receive the value-based payment (VBP) will see these payments in their Remittance Advice dated December 10, 2025 with a reason code 8327 indicating HCBS Value Based Payment. |
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Click here for Archived RA Banner Announcements
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