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- 2021 PI (formerly EHR) Important Messages Archived

Message Effective Date	Title
08/25/2021-12/31/2021	Announcement: The Deadline to Submit PY 2021 Attestations is August 31, 2021! (Posted 8/25/21)
06/02/2021-12/31/2021	Important Dates for Program Year 2021 (Posted 6/2/21)
01/26/2021-12/31/2021	Deadlines for Program Year 2020 and 2021 (posted 1/26/21)

+ 2020 PI (formerly EHR) Important Messages Archived

+ 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

Telehealth Important Messages Search Results

No matching Telehealth Important Messages were found.

- 2023 Important Messages Archived

Message Effective Date	Title
04/28/2023-05/28/2023	CMAP Addendum B April 2023 (Posted 4/28/23)
04/21/2023-05/15/2023	Attention Home Health Providers: 1) Incorrect Prior Authorization (PA) Effective Date Displaying in the Sandata Agency Management (SAM) System 2) Potential Duplicate Home Health Procedure Codes on Master Rates (Posted 4/21/23)
04/21/2023-05/21/2023	Attention All Inpatient Hospital Providers: DRG Grouper Update (Posted 4/21/23)
04/11/2023-04/14/2023	Attention All Providers: Automated Voice Response System Downtime Notification (Posted 4/11/23)
04/10/2023-05/07/2023	Hospital Monthly Important Message (Posted 4/10/23)
03/30/2023-04/03/2023	Attention Home Health Providers: Upcoming SAM Training Dates and Previous Town Hall Recordings (Posted 3/30/23)
03/29/2023-04/30/2023	Attention Home Health Providers: URGENT: ACTION REQUIRED to receive 2% rate increase through value-based payments (VBP) (Posted 3/29/23)
03/29/2023-04/30/2023	Attention Home and Community Based Service Providers: URGENT: ACTION REQUIRED to receive 2% rate increase through value-based payments (VBP) (Posted 3/29/23)
03/14/2023-05/12/2023	Attention All Home Health Providers: Home Health Agencies (HHA) HUSKY Health Secure Provider Web Portal Sign Up (Posted 3/14/23)
03/13/2023-04/09/2023	Hospital Monthly Important Message (Posted 3/13/23)
03/07/2023-03/17/2023	Attention Home Health Providers: Alternate Electronic Visit Verification (EVV) Town Hall Session #3 Date & Registration Link and Previous Town Hall Recordings available on the Connecticut Medical Assistance Program (CMAP) Web site (Posted 3/7/23)
03/03/2023-03/06/2023	Attention Home Health Providers: Alternate Electronic Visit Verification (EVV) Town Hall Recordings available on the Connecticut Medical Assistance Program (CMAP) Web site and EVV Home Health Provider Survey Reopened (Posted 3/3/23)
02/24/2023-03/31/2023	CMAP Addendum B January 2023 (Updated 2/24/23)
02/24/2023-03/31/2023	Attention Home Health Providers: Alternate Electronic Visit Verification (EVV) Provider - Vendor Registration and Notification of Revised Provider Bulletin 2023-07 (Posted 2/24/23)
02/17/2023-03/23/2023	Attention Home Health Providers: Reminder for Home Health Providers and their Alternate Electronic Visit Verification (EVV) Vendors to Register for the Upcoming Town Hall Sessions (Posted 2/17/23)
02/10/2023-03/12/2023	Hospital Monthly Important Message (Posted 2/10/23)
02/09/2023-03/31/2023	Attention Home and Community-Based Waiver Providers: URGENT: ACTION REQUIRED to receive March 2% rate increase through value-based payments (VBP) (Posted 2/9/23)
02/09/2023-03/31/2023	Attention Home Health Providers: URGENT: ACTION REQUIRED to receive March 2% rate increase through value-based payments (VBP) (Posted 2/9/23)
01/25/2023-02/23/2023	CMAP Addendum B January 2023 (Posted 1/25/23)
01/24/2023-02/26/2023	Attention Home Health Agencies and Occupational Therapy Agencies and Individuals: New Opportunity for Occupational Therapists (OT) and Registered Nurses (RN) who work for Home Health Agencies and Individual Occupational Therapist Groups to take part in new services COPE and CAPABLE (Posted 1/24/23)
01/13/2023-02/16/2023	2023 Provider Satisfaction Survey
01/12/2023-02/26/2023	Attention All Public Health Registered Dental Hygienists: Updates to the Caries Risk Assessment Tool and New Caries Risk Assessment Web-based Training (Updated 1/12/23)
01/09/2023-02/01/2023	Hospital Monthly Important Message (Posted 1/9/23)
01/05/2023-02/26/2023	Attention Home Health Agencies and Occupational Therapy Agencies and Individuals - New Opportunity for Occupational Therapists (OT) and Registered Nurses (RN) who work for Home Health Agencies and Individual Occupational Therapist Groups to take part in new services COPE and CAPABLE (Updated 1/5/23)
01/05/2023-02/26/2023	Attention Inpatient Hospital Providers - DRG Calculator Corrected Version (Revised 1/5/23)
01/05/2023-02/26/2023	Attention Dental Providers and Clinics - Dental Mass Adjustment Delay Notification (Posted 1/5/23)
01/04/2023-02/26/2023	Attention Medical Hospitals - Medical Authorization Portal - Inpatient Emergent Admissions (Posted 1/4/23)
01/04/2023-01/04/2023	Attention Inpatient Hospital Providers - DRG Calculator 2023 Revisions IM (Posted 1/4/23)
01/04/2023-01/11/2023	Attention All Public Health Registered Dental Hygienists: Updates to the Caries Risk Assessment Tool and New Caries Risk Assessment Web-based Training (Posted 1/4/23)
01/01/2023-01/04/2023	DRG Calculator 2023 IM (Posted 1/3/23)

+ 2022 Important Messages Archived

+ 2021 Important Messages Archived

+ 2020 Important Messages Archived

+ 2019 Important Messages Archived

+ 2018 Important Messages Archived

+ 2017 Important Messages Archived

+ 2016 Important Messages Archived

+ 2015 Important Messages Archived

+ 2014 Important Messages Archived

+ 2013 Important Messages Archived

- 2023 RA Banner Announcements Archived

Banner Effective Date	Providers	Banner Page Announcement
05/19/2023-05/26/2023	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 May 23, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
05/19/2023-05/26/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified an issue with claims containing one or more of the following Q codes: Q5107, Q5113, Q5121, Q4248, Q5124, and Q4253. The impacted claims initially processed using an incorrect reimbursement methodology and were reprocessed to reflect the reimbursement rate published on the Physician Office and Outpatient Fee Schedule. The reprocessed claims will appear on the May 23, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
05/19/2023-05/26/2023	Attention Home Health Providers	Attention Home Health Providers. Reminder of Sandata Agency Management (SAM) Training Dates and Registration Links for Existing & New Users: Home health providers are expected to onboard and begin to submit Electronic Visit Verification (EVV) production data for all Home Healthcare Services (HHCS) either via SAM or an Alternate EVV (Alt EVV) system no later than September 30, 2023. Moreover, home health claims without a confirmed visit will result in a payment denial for dates of service effective January 1, 2024, and forward. Gainwell Technologies would like to remind Home Health providers to sign up for one of the two types of training regarding utilization of the State's EVV system, i.e., SAM, to capture home health visit data: a DELTA training geared towards Home Health providers currently using SAM; or the series of training sessions for new SAM users. These trainings are being hosted by Sandata Technologies to support the HHCS EVV implementation for non-waiver members. DELTA Training (Client Data Entry/Upload Review): Wednesday, June 7, 2023, 3PM EST (30 min) (Repeat of the DELTA training held on Tuesday, April 11, 2023) Link to sign up: https://go.oncehub.com/CTSandataAgencyManagementDELTATRAINING Please note, a recording of the DELTA training held on Tuesday, April 11, 2023, can be found on the Connecticut channel of the Sandata on Demand (SoD) Web site. To access the recording and other helpful information on the SoD Web site, please log into your account on https://sandata.zendesk.com, click Payer Programs, followed by Connecticut (CT DSS, DDS, MHW), then Connecticut Instructional Videos, and finally Connecticut Home Health Non-Waiver Delta Training Sessions. New SAM User Trainings: June 6, 2023, 2PM EST (90 min) System Overview June 8, 2023, 2PM EST (75 min) Client Data Entry June 13, 2023, 2PM EST (75 min) Staff Data Entry June 14, 2023, 2PM EST (90 min) Visit Capture (Even if you attend a DELTA training, you may want to attend this session because it will cover Telephonic Visit Verification) June 15, 2023, 2PM EST (90 min) Visit Maintenance June 16, 2023, 11AM EST (60 min) Billing Link to sign up: https://go.oncehub.com/ConnecticutProviderTraining
05/05/2023-05/12/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed crossover claims with dates of service (DOS) 4/1/2021 and forward, which contain at least one detail submitted with Claim Adjustment Reason Code (CARC) 132. The claims were reprocessed to consider CARC CO-132 as the Medicare paid amount. If there is an amount greater than $0 in the Medicare paid amount field, the Medicare paid amount and CARC CO-132 will be summed. Claims will appear on your May 9, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
05/05/2023-05/12/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed crossover claims with dates of service (DOS) 4/1/2021 and forward, which contain at least one detail submitted with Claim Adjustment Reason Code (CARC) 132. The claims were reprocessed to consider CARC CO-132 as the Medicare paid amount. If there is an amount greater than $0 in the Medicare paid amount field, the Medicare paid amount and CARC CO-132 will be summed. Claims will appear on your May 9, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
05/05/2023-05/12/2023	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 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 9, 2023 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 9, 2023 RA with an ICN beginning with region code 27.
05/05/2023-05/12/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed crossover claims with dates of service (DOS) 4/1/2021 and forward, which contain at least one detail submitted with Claim Adjustment Reason Code (CARC) 132. The claims were reprocessed to consider CARC CO-132 as the Medicare paid amount. If there is an amount greater than $0 in the Medicare paid amount field, the Medicare paid amount and CARC CO-132 will be summed. Claims will appear on your May 9, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
05/05/2023-05/12/2023	Attention Select Providers	Attention Select Providers. PROCESSED THIS CYCLE: Those providers who qualified to receive the 2% provider value-based payment (VBP) under the American Rescue Plan Act program (ARPA) will see these payments in the Remittance Advice dated May 9, 2023 with a reason code indicating ARPA 2% VBP.
05/05/2023-05/12/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims with dates of service (DOS) 8/1/2022 and forward, which contain one or more of the following procedure codes: H0047 or H2036. The impacted claims will appear on your May 9, 2023 Remittance Advice (RA) with Internal Control (ICN) beginning with region 52.
04/06/2023-04/13/2023	Attention Select Providers	Attention Select Providers. Gainwell Technologies has identified and reprocessed claims for DOS 8/1/2022 forward, claim details are spanning PA line items, that contains one or more procedures codes: H0010, H0011, H0047, H2034, or H2036, Level 3 residential. The impacted claims will appear on the April 11, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with Region code 52.
04/06/2023-04/13/2023	Attention Select Providers	Attention Select Providers. Gainwell Technologies has identified and reprocessed claims paying with GQ modifier for DOS 12/7/2022 and forward in which the procedure (H0015 HH) detail denied for Prior Authorization required. The impacted claims will appear on the April 11, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 52.
04/06/2023-04/13/2023	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 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 11, 2023 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 11, 2023 RA with an ICN beginning with region code 27.
04/06/2023-04/13/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified an issue where claims did not assign the DRG using the primary diagnosis code. The impacted claims have been identified and reprocessed and will appear on the April 11, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
03/24/2023-03/31/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims that were not included in the October 2022 Rate Mass Adjustment cycle. These reprocessed claims will appear on the March 28, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/24/2023-03/31/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified an issue where claims did not assign the DRG using the primary diagnosis code. The impacted claims have been identified and reprocessed and will appear on the March 28, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
03/24/2023-03/31/2023	Attention Select Providers	Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims with dates of service of June 2020 and forward that were submitted with procedure code Q5115. The claims were reprocessed to reflect the reimbursement methodology published on the physician fee schedule. The reprocessed claims will appear on the March 28, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
03/24/2023-03/31/2023	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 28, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/10/2023-03/17/2023	Attention All Providers	Attention Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims which initially processed under the COVID benefit plan as described in Provider Bulletin 2020-42. The claims were reprocessed to reflect the client's retroactive benefit plan change to one of the HUSKY benefit plans. The reprocessed claims will appear on the March 14, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
03/10/2023-03/17/2023	Attention All Providers	Attention All 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 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 14, 2023 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 14, 2023 RA with an ICN beginning with region code 27.
03/10/2023-03/17/2023	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 14, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/10/2023-03/17/2023	Attention Dental Providers	Attention Dental Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed a subset of adult patient dental claims that were not included in the October 2022 Rate Mass Adjustment cycle. These reprocessed claims will appear on the March 14, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55. The remaining reprocessed claims will appear on a future RA.
02/17/2023-02/24/2023	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 22, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/03/2023-02/10/2023	Attention Outpatient Hospital Providers	Attention Outpatient Hospital Providers. REPROCESSED THIS CYCLE: DSS and Gainwell Technologies have identified and reprocessed Outpatient and Outpatient Crossover claims where the claim header DOS is on or after January 1, 2023, claim contains a new procedure code and the claims processed on or before January 24, 2023, when the updated grouper was implemented. These claims have been reprocessed and will appear on the February 8, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 61.
02/03/2023-02/10/2023	Attention All Providers	Attention All 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 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 8, 2023 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 8, 2023 RA with an ICN beginning with region code 27.
02/03/2023-02/10/2023	Attention Home Health Providers	Attention Home Health Providers. EVV Home Health Survey Reminder: Providers are reminded to participate in the EVV Home Health Survey. Providers may access this survey by going to Provider Bulletin PB23-07 and clicking on the link to the survey. The survey will be open through February 13, 2023.
02/03/2023-02/10/2023	Attention All Providers	Attention All Providers. Provider Satisfaction Survey Reminder: Providers are reminded to participate in the Provider Satisfaction Survey. Providers may access this survey by going to Provider Bulletin PB23-03 and clicking on the link to the survey. The survey will be open through February 15, 2023.
01/20/2023-01/27/2023	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 24, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
01/20/2023-01/27/2023	Attention All Providers	Attention All Providers. PROVIDER SATISFACTION SURVEY: Gainwell Technologies would like to invite all providers to participate in the Provider Satisfaction Survey. All feedback would be greatly appreciated, as your responses will help to enhance services and to better serve the provider community. A link to the survey can be found by referring to provider bulletin PB 2023-03. The bulletin can be accessed from the www.ctdssmap.com Web site. From the Home page, click on Information, then Publications, select 23 from the year dropdown, enter 03 in the bulletin number field and click search. Please note: If you wish to participate in our survey, all responses must be received by February 15, 2023. Thank you!
01/20/2023-01/27/2023	Attention All Providers	Attention All Providers. 2022 1099s Available on Web site: Please be advised that 1099s for year 2022 will be available for download from the www.ctdssmap.com Web site by January 24, 2023. The functionality to download 1099s is available to all Master Users and any subordinate clerk accounts who have access to download PDF Remittance Advice files. The 2022 1099s will also be mailed via the USPS to providers the week of January 23, 2023. Providers are reminded that the retention period for 1099s on the secure Web portal is 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 will no longer be available.

+ 2022 RA Banner Announcements Archived

+ 2021 RA Banner Announcements Archived

+ 2020 RA Banner Announcements Archived

+ 2019 RA Banner Announcements Archived

+ 2018 RA Banner Announcements Archived

+ 2017 RA Banner Announcements Archived

+ 2016 RA Banner Announcements Archived

+ 2015 RA Banner Announcements Archived

+ 2014 RA Banner Announcements Archived

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