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- 2023 Important Messages Archived
Message Effective DateTitle
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

Attention Home Health Providers: Alternate Electronic Visit Verification (EVV) Provider - Vendor Registration and Notification of Revised Provider Bulletin 2023-07 (Posted 2/24/23)
02/24/2023-03/31/2023

CMAP Addendum B January 2023 (Updated 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 Health 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 and Community-Based Waiver 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 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)
01/05/2023-02/26/2023

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)
01/04/2023-02/26/2023

Attention Medical Hospitals - Medical Authorization Portal - Inpatient Emergent Admissions (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)
01/04/2023-01/04/2023

Attention Inpatient Hospital Providers - DRG Calculator 2023 Revisions IM (Posted 1/4/23)
01/01/2023-01/04/2023

DRG Calculator 2023 IM (Posted 1/3/23)
  
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- 2023 RA Banner Announcements Archived
Banner Effective DateProvidersBanner Page Announcement
03/24/2023-03/31/2023Attention Select ProvidersAttention 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.
03/24/2023-03/31/2023Attention PCMH Primary Care ProvidersAttention 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.
03/24/2023-03/31/2023Attention Select ProvidersAttention 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.
03/24/2023-03/31/2023Attention Select ProvidersAttention 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.
03/10/2023-03/17/2023Attention Dental ProvidersAttention 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.
03/10/2023-03/17/2023Attention All ProvidersAttention 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.
03/10/2023-03/17/2023Attention All ProvidersAttention 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.
03/10/2023-03/17/2023Attention 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 March 14, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/17/2023-02/24/2023Attention 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 22, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
02/03/2023-02/10/2023Attention 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 PB23-03 and clicking on the link to the survey. The survey will be open through February 15, 2023.
02/03/2023-02/10/2023Attention Home Health ProvidersAttention 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.
02/03/2023-02/10/2023Attention Outpatient Hospital ProvidersAttention 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.
02/03/2023-02/10/2023Attention All ProvidersAttention 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.
01/20/2023-01/27/2023Attention 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 24, 2023 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 55.
01/20/2023-01/27/2023Attention All ProvidersAttention 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.
01/20/2023-01/27/2023Attention All ProvidersAttention 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!
  
+ 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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