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- 2025 Important Messages Archived
Message Effective DateTitle
04/14/2025-05/18/2025

Hospital Monthly Important Message (Posted 4/14/25)
03/17/2025-04/13/2025

Hospital Monthly Important Message (Posted 3/17/25)
03/05/2025-03/07/2025

Attention All Providers: Emergency Extended Down Time Notification (Posted 3/5/25)
02/26/2025-05/01/2025

Attention Pharmacies, Physicians, Nurse Practitioners, Nurse Midwives, Physician Assistants: GLP-1 Diagnosis Code Reminder (Posted 2/26/25)
02/18/2025-05/01/2025

Attention All Provider Types and Specialties: IMPORTANT REMINDER CONCERNING OWNERSHIP CHANGES: DUE TO BOARD CHANGES, STOCK EXCHANGE/SALE, PRACTICE SALE, CHANGES IN LEADERSHIP AND ALL OTHER TRANSACTIONS THAT CHANGE THE OWNERSHIP OR CHANGE ANY OWNERSHIP OF 5% OR GREATER (Posted 2/18/25)
02/14/2025-03/16/2025

Hospital Monthly Important Message (Posted 2/14/25)
02/10/2025-03/15/2025

Attention All Providers: Provider Satisfaction Survey Reminder (Posted 2/10/25)
02/06/2025-05/01/2025

Attention Home Health Providers: Electronic Visit Verification (EVV) Updates regarding Third Party Liability (TPL) Billing for Dually Eligible Clients - as of February 6, 2025
02/03/2025-05/01/2025

Attention Outpatient Hospital Providers: ACTION REQUIRED - Outpatient Hospital Certification Letter Upload Instructions and Billing Reminder (Posted 2/3/25)
01/30/2025-04/01/2025

Attention Outpatient Hospitals: CMAP Addendum B Updated (January 1, 2025) (Posted 1/30/25)
01/17/2025-02/13/2025

Hospital Monthly Important Message (Posted 1/17/25)
  
+ 2024 Important Messages Archived
  
+ 2023 Important Messages Archived
  
+ 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
  
- 2025 RA Banner Announcements Archived
Banner Effective DateProvidersBanner Page Announcement
05/09/2025-05/16/2025Attention Select ProvidersAttention 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 May 14, 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 May 14, 2025 RA with an ICN beginning with region code 27.
05/09/2025-05/16/2025Attention All ProvidersAttention 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.
05/09/2025-05/16/2025Attention All ProvidersAttention All Providers. HOLIDAY CLOSURE: Please be advised, the Department of Social Services (DSS) and Gainwell Technologies will be closed on Monday, May 26, 2025, in observance of the Memorial Day holiday. Both the DSS and Gainwell Technologies offices will re-open on Tuesday, May 27, 2025.
04/25/2025-05/02/2025Attention All ProvidersAttention 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.
04/11/2025-04/18/2025Attention Select ProvidersAttention Select Providers. REPROCESSED: Gainwell Technologies has identified a set of claims that processed incorrectly on 3/28/2025 due to a system error. These claims have been identified and reprocessed and will appear on your April 16, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 52.
04/11/2025-04/18/2025Attention All ProvidersAttention 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.
04/11/2025-04/18/2025Attention Select ProvidersAttention 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 April 16, 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 April 16, 2025 RA with an ICN beginning with region code 27.
03/21/2025-03/28/2025Attention Primary Care ProvidersAttention Primary Care Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims for providers who were retroactively approved for the HUSKY Health Primary Care Increased Payments policy. The reprocessed claims will appear on your March 26, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 27 or 52.
03/21/2025-03/28/2025Attention All ProvidersAttention 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.
03/21/2025-03/28/2025Attention Select ProvidersAttention Select 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 26, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
03/07/2025-03/14/2025Attention Outpatient HospitalsAttention 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, 2025, the claim contains a new or changed procedure code and the claims processed on or before January 28, 2025. These claims have been reprocessed and will appear on the March 11, 2025, Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 61 or 27.
03/07/2025-03/14/2025Attention Pharmacy ProvidersAttention 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 11, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
03/07/2025-03/14/2025Attention All ProvidersAttention Pharmacy Providers. OWNERSHIP CHANGES: Providers must notify the Department of Social Services (DSS) Enrollment and Quality Assurance (QA) in writing of all ownership changes (including sales, stock exchanges, and leadership changes) prior to the change to avoid possible claims recoupment and/or denial. An Important Message was sent on February 18th, 2025. Notifications can be sent to ctproviderenrollment@gainwelltechnologies.com and Nicole Sinisgalli at DSS QA Nicole.Sinisgalli@ct.gov. All changes in ownership require a new provider enrollment application, a notarized letter from the previous ownership, and must be finalized by the date of sale. Previous ownership may be liable for fraud, abuse, or tax issues if they fail to notify DSS. For long-term care facilities, re-enrollment must be obtained by calling the Provider Assistance Center at 1-800-842-8440.
03/07/2025-03/14/2025Attention Select ProvidersAttention 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 March 11, 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 March 11, 2025 RA with an ICN beginning with region code 27.
03/07/2025-03/14/2025Attention Select ProvidersAttention Select Providers. Certification Update Needed: Letters have been sent indicating your new certification dates. Please act promptly if you plan to continue to provide American Society of Addiction Medicine (ASAM) services. Your current certifications have ended as of 03/01/2025 and you will receive denials. Services will deny EOB 4290 PROVIDER CERTIFICATION RESTRICTION FOR BILLED PROC UNDER PROVIDER CONTRACT. Upon receiving your written notice of certification, you must enter the appropriate certification(s) to the provider's secure Web Portal Demographic Maintenance panel and upload your letter. directly on the home page. Certification types impacted: Partial Hospitalization (PH) ASAM 2.5, Withdrawal Management 1 (W1) ASAM 1-WM, Withdrawal Management 2 (W2) ASAM 2-WM, and Intensive Outpatient (IO) ASAM 2.1.
03/07/2025-03/14/2025Attention All ProvidersAttention 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.
03/07/2025-03/14/2025Attention GT IndependenceAttention GT Independence. REPROCESSED THIS CYCLE: The Department of Social Services has directed Gainwell Technologies to recoup claims for procedure code T1019 previously billed and paid under your CHC PCA FI AVRS ID. These claims that were incorrectly billed will be recouped and appear on your March 11, 2025 Remittance Advice with an Internal Control Number (ICN) beginning with a region 52.
02/21/2025-02/28/2025Attention Select ProvidersAttention Select Providers. Certification Update Needed: Letters have been sent indicating your new certification dates. Please act promptly if you plan to continue to provide American Society of Addiction Medicine (ASAM) services. Your current certifications will end as of 03/01/2025 and you will receive denials. Upon receiving your written notice of certification, you must enter the appropriate certification(s) to the provider's secure Web Portal Demographic Maintenance panel and upload your letter. directly on the home page. Certification types impacted: Partial Hospitalization (PH) ASAM 2.5, Withdrawal Management 1 (W1) ASAM 1-WM, Withdrawal Management 2 (W2) ASAM 2-WM, and Intensive Outpatient (IO) ASAM 2.1.
02/21/2025-02/28/2025Attention Select Primary Care ProvidersAttention Select Primary Care Providers. REPROCESSED: Gainwell Technologies has identified and reprocessed professional and professional crossover claims for dates of service January 1, 2025 through February 14, 2025 with procedure codes 98000-98007 that should have paid at the ACA enhanced rate as this code range replaced E/M procedure codes 99202-99215 when services are rendered via telemedicine as communicated in PB 2024-78. All claims submitted after 2/14/2025 have processed correctly. The impacted claims will appear on your February 26, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
02/21/2025-02/28/2025Attention Select ProvidersAttention 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 26, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/07/2025-02/14/2025Attention All ProvidersAttention 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.
02/07/2025-02/14/2025Attention Select ProvidersAttention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims for injectable medications, including claims which incorrectly reimbursed using the National Drug Code (NDC) methodology instead of the published max fee, as well as claims submitted with inappropriate Healthcare Common Procedure Coding System (HCPCS) codes and NDC combinations. The reprocessed claims will appear on the February 12, 2025, Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
02/07/2025-02/14/2025Attention Select ProvidersAttention 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 February 12, 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 February 12, 2025 RA with an ICN beginning with region code 27.
01/24/2025-01/31/2025Attention All ProvidersAttention 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.
01/24/2025-01/31/2025Attention Select ProvidersAttention 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, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
01/10/2025-01/17/2025Attention Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism and Mental Health (MH) Waiver Service ProvidersAttention Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism and Mental Health (MH) Waiver Service Providers. REMINDER OF OPTIONAL TRANSITION TO OPEN VENDOR ELECTRONIC VISIT VERIFICATION (EVV) MODEL: In 2016, Section 12006 of the 21st Century Cures Act established a requirement for all states to use an Electronic Visit Verification (EVV) system for Medicaid-funded Personal Care Services (PCS). Currently, the Department of Social Services (DSS) and Department of Mental Health and Addiction Services (DMHAS) utilize a State Mandated External Vendor model for the collection of PCS visit data. All PCS providers are required to submit visit data to the system designed by the State's external EVV vendor (i.e., Sandata Technologies). DSS and DMHAS will be transitioning from a State Mandated External Vendor model to an Open Vendor EVV model with an aggregator solution for PCS. The Open Vendor EVV model will allow providers the opportunity to use either the State's existing external EVV vendor system (i.e., Sandata Agency Management) or their own third-party ("Alternate EVV") system to capture visit data. Changes to accept all PCS visit data from either the State's existing EVV system or an Alternate EVV system were implemented on May 8, 2024. Additional information, including vendor specifications, presentations and recordings for all three Town Hall sessions Frequently Asked Questions (FAQ) Document and Alternate EVV Provider Registration Form can be found on the www.ctdssmap.com Web site Home Page under Important Messages by selecting the Electronic Visit Verification (EVV) Updates - as of May 31, 2024 link.
01/10/2025-01/17/2025Attention Pharmacy ProvidersAttention Pharmacy Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed select diabetic supplies claims with dates of service from 10/01/2024 through 01/03/2025 for reporting purposes with no financial impact to providers. The reprocessed claims will appear on the January 15, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
01/10/2025-01/17/2025Attention Select ProvidersAttention 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 January 15, 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 January 15, 2025 RA with an ICN beginning with region code 27.
01/10/2025-01/17/2025Attention SELECT PROVIDERSAttention SELECT PROVIDERS. Rate Mass Adjustments: FQHC providers that have had rate changes dating back to July 1, 2024 will have their Part B and C FQHC crossover claims reprocessed to reflect any recent rate changes during this period. These claims will pay allowed greater than billed. Going forward, any rate mass adjustments will include crossover claims. The impacted claims have been identified and reprocessed and will appear on your January 15, 2025 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
01/10/2025-01/17/2025Attention All ProvidersAttention 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 PB25-06 and clicking on the link to the survey. The survey will be open through February 14, 2025.
01/10/2025-01/17/2025Attention All ProvidersAttention 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.
  
+ 2024 RA Banner Announcements Archived
  
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