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- 2020 PI (formerly EHR) Important Messages Archived

Message Effective Date	Title
04/15/2020-05/31/2020	Reminder: Program Year 2019 Deadline Extension (Posted 4/15/20)
03/31/2020-05/31/2020	Program Year 2019 Deadline Extension (Posted 3/31/20)
01/05/2020-04/01/2020	Announcement: MAPIR is Now Open for Program Year 2019 (Posted 1/6/20)

+ 2019 PI (formerly EHR) Important Messages Archived

+ 2018 PI (formerly EHR) Important Messages Archived

+ 2017 PI (formerly EHR) Important Messages Archived

+ 2016 PI (formerly EHR) Important Messages Archived

+ 2015 PI (formerly EHR) Important Messages Archived

+ 2014 PI (formerly EHR) Important Messages Archived

+ 2013 PI (formerly EHR) Important Messages Archived

- 2020 Important Messages Archived

Message Effective Date	Title
09/01/2020-09/14/2020	COVID-19 Information and FAQs (Updated 9/1/20)
08/13/2020-08/31/2020	COVID-19 Information and FAQs (Updated 8/13/20)
08/13/2020-08/30/2020	Attention Home Health, Home Care and Waiver Service Providers: Web Browser Reminder (Posted 8/14/20)
08/11/2020-09/03/2020	Hospital Monthly Important Message (Posted 8/11/20)
08/03/2020-08/29/2020	Attention All Providers: CARES Act Relief Fund for Providers 2nd Deadline Extension Notification (Posted 8/3/20)
07/21/2020-08/02/2020	Attention All Providers: CARES Act Relief Fund for Providers Deadline Extension Notification (Posted 7/21/20)
07/15/2020-07/23/2020	Attention EVV Service Providers: Introducing the Sandata Mobile Connect (SMC) App (Posted 7/15/20)
07/10/2020-08/12/2020	COVID-19 Information and FAQs (Updated 7/10/20)
07/08/2020-08/08/2020	Skilled Nurse (SN) Prior Authorization Issue in Santrax Update (Posted 7/8/20)
07/02/2020-07/20/2020	Reminder to All Providers: CARES Act Relief Fund for Providers (Posted 7/2/20)
07/01/2020-08/10/2020	Hospital Monthly Important Message (Posted 7/01/20)
07/01/2020-08/31/2020	Revised Monthly Provider Manual Chapters (Updated 7/1/20)
06/30/2020-08/01/2020	Skilled Nurse (SN) Prior Authorization Issue in Santrax (Posted 6/30/20)
06/29/2020-09/14/2020	Attention All Providers and Trading Partners: ASC X12 835 Health Care Claim Payment/Remittance Advice Files Issue (Posted 6/29/20)
06/26/2020-07/09/2020	COVID-19 Information and FAQs (Updated 6/26/20)
06/22/2020-06/25/2020	COVID-19 Information and FAQs (Updated 6/22/20)
06/19/2020-07/20/2020	Attention All Providers: CARES Act Relief Fund for Providers (Posted 6/19/20)
06/19/2020-06/21/2020	COVID-19 Information and FAQs (Updated 6/19/20)
06/15/2020-07/04/2020	Attention Hospital Providers (Posted 6/15/20)
06/10/2020-06/18/2020	COVID-19 Information and FAQs (Updated 6/10/20)
06/09/2020-06/30/2020	Hospital Monthly Important Message (Posted 06/09/20)
06/05/2020-06/09/2020	COVID-19 Information and FAQs (Updated 6/5/20)
06/04/2020-06/04/2020	COVID-19 Information and FAQs (Updated 6/4/20)
06/03/2020-06/03/2020	COVID-19 Information and FAQs (Updated 6/3/20)
06/02/2020-06/26/2020	Attention Primary Care Providers: Upcoming Provider Training Supporting Primary Care Clinicians to Address COVID-19 Behavioral Health Issues (Posted 6/2/20)
06/02/2020-06/02/2020	COVID-19 Information and FAQs (Updated 6/2/20)
05/29/2020-07/01/2020	Attention Inpatient Hospital Providers: Behavioral Health Inpatient Authorizations (Posted 5/29/20)
05/29/2020-06/01/2020	COVID-19 Information and FAQs (Updated 5/29/20)
05/27/2020-05/28/2020	COVID-19 Information and FAQs (Updated 5/27/20)
05/22/2020-05/26/2020	COVID-19 Information and FAQs (Updated 5/22/20)
05/20/2020-08/01/2020	Attention Medicaid Waiver Service Providers: Updated ABI, Autism, CHC, MH and PCA Waiver Procedure Code Crosswalks (Posted 5/20/20)
05/18/2020-05/21/2020	COVID-19 Information and FAQs (Updated 5/18/20)
05/15/2020-05/17/2020	COVID-19 Information and FAQs (Updated 5/15/20)
05/14/2020-05/14/2020	COVID-19 Information and FAQs (Updated 5/14/20)
05/13/2020-05/13/2020	COVID-19 Information and FAQs (Updated 5/13/20)
05/12/2020-06/08/2020	Hospital Monthly Important Message (Posted 5/12/2020)
05/11/2020-05/12/2020	COVID-19 Information and FAQs (Updated 5/11/20)
04/30/2020-05/10/2020	COVID-19 Information and FAQs (Updated 4/30/20)
04/23/2020-04/29/2020	COVID-19 Information and FAQs (Updated 4/23/20)
04/21/2020-07/01/2020	Attention Durable Medical Equipment Providers: Billing of Non-Hospital Grade Breast Pumps (Posted 4/21/20)
04/21/2020-04/22/2020	COVID-19 Information and FAQs (Updated 4/21/20)
04/16/2020-06/30/2020	Attention Hospital and Nursing Home Providers: Updated Information Regarding the PASRR Process (Posted 4/16/20)
04/16/2020-04/20/2020	COVID-19 Information and FAQs (Updated 4/16/20)
04/13/2020-07/22/2020	CMAP Addendum B April 2020 (Posted 4/13/20)
04/13/2020-04/15/2020	COVID-19 Information and FAQs (Updated 4/13/20)
04/08/2020-05/31/2020	Attention Hospital and Nursing Home Providers: An Important Message Regarding the PASRR Process (Posted 4/8/20)
04/08/2020-05/10/2020	Hospital Monthly Important Message Posted (4/08/2020)
04/08/2020-04/12/2020	COVID-19 Information and FAQs (Updated 4/8/20)
04/07/2020-04/07/2020	COVID-19 Information and FAQs (Updated 4/7/20)
04/07/2020-04/20/2020	Attention Durable Medical Equipment Providers: Billing of Non-Hospital Grade Breast Pumps (Posted 4/7/20)
04/03/2020-04/06/2020	COVID-19 Information and FAQs (Updated 4/3/20)
04/02/2020-07/01/2020	Attention Ambulance Providers: Provider Deactivation Letters (Posted 4/2/20)
04/01/2020-04/02/2020	COVID-19 Information and FAQs (Updated 4/1/20)
03/30/2020-07/01/2020	Attention Autism Waiver Service Providers: COVID-19 Response Bulletin 12 (Posted 3/30/20)
03/30/2020-03/31/2020	COVID-19 Information and FAQs (Updated 3/30/20)
03/27/2020-03/29/2020	COVID-19 Information and FAQs (Updated 3/27/20)
03/27/2020-07/01/2020	Attention Electronic Visit Verification (EVV) Service Providers: Suspension of EVV Compliance Requirement (Posted 3/27/20)
03/26/2020-03/26/2020	COVID-19 Information and FAQs (Updated 3/26/20)
03/24/2020-06/01/2020	Attention: Adult Day Health Services During the COVID-19 Pandemic (Posted 3/24/20)
03/23/2020-06/01/2020	Attention Medicaid Waiver Service Providers: COVID-19 (Posted 3/23/20)
03/20/2020-03/25/2020	COVID-19 Information and FAQs (Updated 3/20/20)
03/19/2020-03/19/2020	COVID-19 Information and FAQs (Updated 3/19/20)
03/18/2020-03/18/2020	COVID-19 Information and FAQs (Updated 3/18/20)
03/13/2020-03/17/2020	COVID 19 Information and FAQs (Posted 3/13/20)
03/11/2020-04/12/2020	Hospital Monthly Important Message (Updated 3/11/20)
03/10/2020-03/31/2020	New Provider Workshop Scheduled for March 18, 2020 has been Cancelled (Posted 3/11/20)
03/04/2020-04/17/2020	Revised Monthly Provider Manual Chapters (Updated 3/4/20)
03/02/2020-05/01/2020	Attention Non-Emergency Medical Transportation (NEMT) Providers: Accessing Their Re-enrollment Due Date (Posted 3/2/20)
03/02/2020-04/17/2020	Attention Durable Medical Equipment (DME) Providers: Therapeutic Continuous Glucose Monitors (CGMs) Auditing (Posted 3/2/20)
02/11/2020-05/11/2020	Attention: Acquired Brain Injury (ABI) Fiduciary, Case Management Agencies and Service Providers (Posted 2/11/20)
02/10/2020-03/10/2020	Hospital Monthly Important Message (Updated 2/10/20)
02/02/2020-03/03/2020	Revised Monthly Provider Manual Chapters (Updated 2/3/20)
01/28/2020-04/16/2020	Attention Providers: 2019 1099s Now Available on Web Site (Posted 1/28/20)
01/28/2020-01/31/2020	Attention Providers: January 24, 2020 Claim Cycle 835 Availability (Posted 1/28/20)
01/26/2020-01/26/2020	ATTENTION PROVIDERS: Service Interruption (Posted 01/27/20)
01/16/2020-04/01/2020	Attention: Providers of Non-Medical Mental Health Waiver Services Reminder of Upcoming Claim Submission Changes (Posted 1/16/20)
01/14/2020-02/09/2020	Hospital Monthly Important Message (Updated 01/14/20)
01/10/2020-02/29/2020	Attention All Providers: Handicap Accessible Indicator (Posted 1/10/20)
01/07/2020-01/10/2020	ATTENTION PROVIDERS: Automated Voice Response System Downtime Notification (Posted 1/8/20)

+ 2019 Important Messages Archived

+ 2018 Important Messages Archived

+ 2017 Important Messages Archived

+ 2016 Important Messages Archived

+ 2015 Important Messages Archived

+ 2014 Important Messages Archived

- 2020 RA Banner Announcements Archived

Banner Effective Date	Providers	Banner Page Announcement
09/04/2020-09/11/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology 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 September 9, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
09/04/2020-09/11/2020	Attention Select Skilled Nursing Facilities	Attention Select Skilled Nursing Facilities. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the September 4, 2020 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your September 9, 2020 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
09/04/2020-09/11/2020	Attention Select Home Health Agencies	Attention Select Home Health Agencies. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the September 4, 2020 claims cycle. The recoupments are related to a Home Health Agency settlement with CMS and will appear on your September 9, 2020 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
08/21/2020-08/28/2020	Attention Select Providers	Attention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your August 25, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
08/07/2020-08/14/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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 August 11, 2020 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". The new claims will also appear on the August 11, 2020 RA with an ICN beginning with region code 27.
07/24/2020-07/31/2020	Attention Select Providers	Attention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your July 28, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
07/24/2020-07/31/2020	Attention Select Skilled Nursing Facilities	Attention Select Skilled Nursing Facilities. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the July 24, 2020 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your July 28, 2020 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
07/17/2020-07/23/2020	Attention Inpatient Hospital Providers	Attention Inpatient Hospital Providers. INPATIENT HOSPITAL COVID-19 APR-DRG REPROCESSING: DXC Technology scheduled a special cycle for July 17, 2020 to reprocess inpatient claims for Medicaid patients diagnosed with COVID-19 diagnosis code U07.1 for discharges between April 1, 2020 through June 30, 2020. The adjusted inpatient claims will appear on your July 21, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
07/10/2020-07/16/2020	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and recouped claims that were paid under the COVID-19 Testing Group for uninsured residents without a COVID-19 related diagnosis code. The claims which processed initially under the COVID-19 Testing Group will be recouped and appear on the July 14, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
07/10/2020-07/16/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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 July 14, 2020 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". The new claims will also appear on the July 14, 2020 RA with an ICN beginning with region code 27.
06/19/2020-06/26/2020	Attention PCMH Primary Care Providers	Attention PCMH Primary Care Providers. REPROCESSED THIS CYCLE: Primary Care Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or end dated from the PCMH program. Claims which processed prior to the completion of the provider's PCMH enrollment were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For those providers retroactively end dated, claims were paid with the PCMH differential payment rate that have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your June 23, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
06/19/2020-06/26/2020	Attention Primary Care Providers	Attention Primary Care Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims for providers who were retroactively approved for the HUSKY Health Primary Care Increased Payments policy. The impacted claims have been reprocessed and will appear on your June 23, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 52.
06/19/2020-06/26/2020	Attention Select Providers	Attention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your June 23, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
06/19/2020-06/26/2020	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims that were inadvertently recouped due an incorrect date of death entered on the recipient's eligibility file. The reprocessed claims will appear on your June 23, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
06/12/2020-06/18/2020	Attention Inpatient Hospital Providers	Attention Inpatient Hospital Providers. INPATIENT HOSPITAL ADJUSTMENT FACTOR APR-DRG REPROCESSING: DXC Technology scheduled a special cycle for June 12, 2020 to reprocess inpatient claims using the corrected adjustment factors for discharges on or after January 1, 2020. The adjusted inpatient claims will appear on your June 16, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55. The interim payments issued on March 31, 2020 for the estimated difference between the factors for January through March will be recouped at this time as well and will post to the RA under Accounts Receivable.
06/05/2020-06/10/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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 June 9, 2020 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". The new claims will also appear on the June 9, 2020 RA with an ICN beginning with region code 27.
06/05/2020-06/10/2020	Attention Select Skilled Nursing Facilities	Attention Select Skilled Nursing Facilities. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the June 5, 2020 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your June 9, 2020 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
06/05/2020-06/10/2020	Attention Select Home Health Providers	Attention Select Home Health Providers. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the June 5, 2020 claims cycle. The recoupments are related to a Home Health settlement with CMS and will appear on your June 9, 2020 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
06/05/2020-06/10/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology 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 June 9, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
06/05/2020-06/10/2020	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: The Department of Social Services has identified and corrected an issue created by a configuration error resulting in an over payment on specific injectable drug procedure codes. The affected claims have been reprocessed to reflect the published fee schedule rate. Reprocessed claims will appear on your June 9, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with 52.
06/05/2020-06/10/2020	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims that were paid in error for services that required prior authorization (PA) when no valid PA existed in the system. The reprocessed claims will appear on your June 9, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with 52 with denied details posting the Explanation of Benefits (EOB) code 3003 "Prior authorization is required for payment of this service".
05/22/2020-05/29/2020	Attention Home Health Service Providers and Connecticut Home Care (CHC), Personal Care Assistance (PCA), Autism Waiver, and Acquired Brain Injury (ABI) Waiver Providers	Attention Home Health Service Providers and Connecticut Home Care (CHC), Personal Care Assistance (PCA), Autism Waiver, and Acquired Brain Injury (ABI) Waiver Providers. ELECTRONIC VISIT VERIFICATION (EVV) PROGRAM UPDATES: Providers are reminded to review the following provider bulletins to ensure they are aware of what services have been removed from the EVV mandated service code listing and have been temporarily removed from EVV until the state has deemed COVID-19 to no longer be a public health emergency. * PB 2020-34: CMAP COVID-19 Response - Bulletin 21: Select Added Services to the Emergency Temporary Telemedicine Coverage/Telephonic Coverage for Specified Home Health Services * PB 2020-28: CMAP COVID-19 Response - Bulletin 13: Emergency Temporary Telemedicine Coverage/Telephonic Coverage for Specified Home Health Services and Hospice Services * PB 2020-27: CMAP COVID-19 Response - Bulletin 12: Waiver of Certain Requirements and Temporary Procedural Changes for Home and Community-Based Waiver Programs
05/22/2020-05/29/2020	Attention Acquired Brain Injury (ABI), Autism, Connecticut Home Care (CHC), Personal Care Assistance (PCA) and Mental Health (MH) Waiver Service Providers and Home Health Agencies	Attention Acquired Brain Injury (ABI), Autism, Connecticut Home Care (CHC), Personal Care Assistance (PCA) and Mental Health (MH) Waiver Service Providers and Home Health Agencies. ABI, AUTISM, CHC, PCA AND MH WAIVER PROCEDURE CODE CROSSWALK UPDATES: The Procedure Code Crosswalks for the ABI, Autism, CHC, PCA, and MH Waiver Programs have been updated to include new procedure codes and changes in services or service authorization of current codes, as an interim measure to the Department of Social Services (DSS) response to the Governor's declaration of a public health emergency, as a result of the outbreak of COVID-19 (coronavirus). The crosswalks also identify previously Electronic Visit Verification (EVV) mandated services, allowed via telehealth, that are now suspended from EVV for the duration of the COVID-19 public health emergency period. In response to provider feedback, some of these codes will be moved to an EVV optional service status. Providers should refer to the soon to be published Important Message "Changes to EVV Optional Service Code Listing" Important Message for further information. The Crosswalks can be accessed via the www.ctdssmap.com Web site. From the Home page, select "Provider Training" to open the Training page. Under the "Materials" heading, select the respective "Provider Workshops" link for the waiver crosswalk you wish to view, then click on the link to that waiver's "Procedure Code Crosswalk".
05/08/2020-05/15/2020	Attention Select Skilled Nursing Facilities	Attention Select Skilled Nursing Facilities. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the May 8, 2020 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your May 12, 2020 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
05/08/2020-05/15/2020	Attention CHC Access Agency Provider	Attention CHC Access Agency Provider. CLAIMS PROCESSING ISSUE IDENTIFIED: DXC Technology has identified a claims processing issue that impacted how some of your Agency's claims processed on May 5, 2020, with the majority of these claims erroneously setting EOB code 0249 -"Facility type code is invalid" or EOB code 4032 - "Procedure code is not on file". As a result, DXC Technology has adjusted 1,708 claims that paid and reprocessed 7,692 claims that denied. These adjusted and reprocessed claims will appear on the May 12, 2020 Remittance Advice (RA) with an ICN Region code 52 for adjusted claims or an ICN Region code 27 for reprocessed claims.
05/08/2020-05/15/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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 May 12, 2020 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". The new claims will also appear on the May 12, 2020 RA with an ICN beginning with region code 27.
04/24/2020-05/01/2020	Attention Select Providers	Attention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your April 28, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
04/09/2020-04/16/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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 April 14, 2020 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". The new claims will also appear on the April 14, 2020 RA with an ICN beginning with region code 27.
03/20/2020-03/24/2020	Attention Select Providers	Attention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your March 24, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/20/2020-03/24/2020	Attention PCMH Primary Care Providers	Attention PCMH Primary Care Providers. REPROCESSED THIS CYCLE: Primary Care Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or end dated from the PCMH program. Claims which processed prior to the completion of the provider's PCMH enrollment were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For those providers retroactively end dated, claims were paid with the PCMH differential payment rate that have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your March 24, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/20/2020-03/24/2020	Attention Community First Choice Intermediary, ABI/ABI II, Autism, PCA/PCA MFP Fiduciary	Attention Community First Choice Intermediary, ABI/ABI II, Autism, PCA/PCA MFP Fiduciary. REPROCESSED THIS CYCLE: The Department of Social Services (DSS) has requested that DXC reprocess Community First Choice (CFC), Acquired Brain Injury (ABI)/Acquired Brain Injury II (ABI II), Autism, Personal Care Assistance (PCA) and Personal Care Assistance/Money Follows the Person (PCA/MFP) client claims or claim details with dates of service submitted in 2018 and 2019 that previously denied with Explanation of Benefit (EOB) code 3003, "PA Required", 3015 " Care Plan Required" or 3016 "Service not covered under Care Plan". These claims have been reprocessed and will appear on the March 24, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 for new day claims or 52 for adjusted claims.
03/20/2020-03/24/2020	Attention Select Mental Health Waiver Service Providers	Attention Select Mental Health Waiver Service Providers. REPROCESSED THIS CYCLE: The Department of Social Services has requested that DXC Technology reprocess non-medical Mental Health Waiver claims, submitted with procedure codes G9012, H0038, H2015, H2023, for dates of service February 1, 2020 - February 28, 2020. These claims previously processed under the clients HUSKY C benefit plan instead of under the client's Mental Health Waiver Benefit Plan. Impacted claims have been identified and reprocessed and will appear on your March 24, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
03/20/2020-03/24/2020	Attention Primary Care Providers	Attention Primary Care Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims for providers who were retroactively approved for the HUSKY Health Primary Care Increased Payments policy. The impacted claims have been reprocessed and will appear on your March 24, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 52.
03/06/2020-03/13/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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, 2020 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". The new claims will also appear on the March 10, 2020 RA with an ICN beginning with region code 27.
03/06/2020-03/13/2020	Attention Select Skilled Nursing Facilities	Attention Select Skilled Nursing Facilities. RECOUPMENT TRANSACTIONS: The Department of Social Services (DSS) has completed a Centers for Medicare & Medicaid Services (CMS) financial transaction settlement in the March 6, 2020 claims cycle. The recoupments are related to a Skilled Nursing Facility settlement with CMS and will appear on your March 10, 2020 Remittance Advice (RA) under Accounts Receivable with reason code 8407 "CMS Settlement".
03/06/2020-03/13/2020	Attention All Providers	Attention All Providers. NEW PROVIDER WORKSHOP: Newly enrolled providers or new business office staff are invited to register for and attend the New Provider Workshop to be held on Wednesday, March 18, 2020 at the Connecticut Hospital Association. Additional information and the registration link can be found on the CMAP Web site, www.ctdssmap.com. Please select Provider Training in the Provider Quick Links box then New Provider Workshop Invitation.
03/06/2020-03/13/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology 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, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
02/21/2020-02/28/2020	Attention Outpatient Hospitals	Attention Outpatient Hospitals. CONNECTICUT MEDICAL ASSISTANCE PROGRAM (CMAP) ADDENDUM B REPROCESSING: DXC Technology has identified outpatient and outpatient crossover claims with dates of services between January 1, 2020 to January 28, 2020 that processed prior to the availability of the Addendum B updates for "NEW" procedure codes and has re-processed the claims in the February 21, 2020 claim cycle. These claims will appear on the February 25, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 61.
02/21/2020-02/28/2020	Attention Select Providers	Attention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your February 25, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/21/2020-02/28/2020	Attention Outpatient Hospitals	Attention Outpatient Hospitals. CONNECTICUT MEDICAL ASSISTANCE PROGRAM (CMAP) ADDENDUM B REPROCESSING: DXC Technology has adjusted all outpatient and outpatient crossover claims impacted by Ambulatory Payment Classification (APC) weight changes, status indicator changes, and other changes indicated by an "X" in the change field on the CMAP Addendum B. Outpatient and outpatient crossover claims with dates of services between January 1, 2020 to January 28, 2020 that were processed prior to the availability of the Addendum B updates were adjusted in the February 21, 2020 claim cycle and the adjusted claims will appear on the February 25, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/07/2020-02/14/2020	Attention All Providers	Attention All Providers. HANDICAP ACCESSIBLE INDICATOR: The Department of Social Services (DSS) is working on an effort to update the public facing provider directory. In reviewing the data from your enrollment/reenrollment application, we determined that the Handicap Accessible indicator defaults to 'no' if left unanswered/incomplete. In an effort to avoid inaccurate or incomplete information being displayed for your facility/practice, we are requesting all providers log into the provider portal and review their service location address and corresponding handicap accessible information. 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 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". You 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 your secure Web account.
02/07/2020-02/14/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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 February 11, 2020 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". The new claims will also appear on the February 11, 2020 RA with an ICN beginning with region code 27.
02/07/2020-02/14/2020	Attention All Providers	Attention All Providers. 2019 1099s Now Available on Web: The Department of Social Services (DSS) and DXC Technology are pleased to announce that beginning January 29, 2020, providers are now able to download their 2019 1099s from the www.ctdssmap.com Web site. This functionality is available for all Master Users and any subordinate clerk accounts who have access to download PDF Remittance Advice files. The 2019 1099s were also mailed to providers on January 23, 2020. Providers wishing to download their 2019 1099 from www.ctdssmap.com would do so by logging into their secure Web portal account, selecting Trade Files then download. Providers must then click on the 1099s selection located at the top of the drop-down menu. Users would then scroll down and select the 2019 1099 from the "Current Files Available for Download" panel. The retention period for 1099s on the secure Web portal account will be three (3) years. Providers are encouraged to download and save a local copy of the 1099s as after three (3) years, the downloadable files will be removed and no longer available.
01/24/2020-01/31/2020	Attention Select Providers	Attention Select Providers. PCMH REPROCESS: Providers enrolled in the Person-Centered Medical Home Initiative (PCMH) were enrolled with retroactive effective dates or were approved for changes in PCMH level or site address with retroactive effective dates. Claims which processed prior to the completion of the provider's PCMH enrollment or level/site address change were not paid with the PCMH differential payment rate and have now been reprocessed to include that amount. For any providers with retroactive site terminations, claims which processed with the PCMH differential payment rate have now been reprocessed without that amount. The impacted claims have been identified and reprocessed and will appear on your January 29, 2020 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
01/10/2020-01/17/2020	Attention All Providers	Attention All Providers. REPROCESSED THIS CYCLE: DXC Technology has identified and reprocessed claims which initially processed and paid under a temporary client ID as described in Provider Bulletin 2014-29. The 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 January 14, 2020 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". The new claims will also appear on the January 14, 2020 RA with an ICN beginning with region code 27.
01/10/2020-01/17/2020	Attention All Providers	PROVIDER FILE MAINTENANCE: The Department of Social Services (DSS) is working on an effort to update the public facing provider directory. In reviewing the data from your enrollment/reenrollment application, we determined that the Handicap Accessible indicator defaults to 'no' if left unanswered/incomplete. In an effort to avoid inaccurate or incomplete information being displayed for your facility/practice, we are requesting all providers log into the provider portal and review their service location address and corresponding handicap accessible information. 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 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". You 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 your secure Web account.

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