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Attention All Providers, Trading Partners and Drug Labelers: Recent Security Update Reminder - Security Question Updates, Notifications and Multi-Factor Authentication Enrollment for Master Users and Clerks (Posted 6/9/26)
Attention All Providers, Trading Partners and Drug Labelers: Secure Web Portal Multi-Factor Authentication (MFA) Enrollment for Master Users and Clerks available June 2, 2026 (Posted 5/29/26)
Attention Connecticut Home Care and Personal Care Assistant Waiver Adult Family Living Providers: The Future of the Adult Family Living (AFL) Service in Connecticut Meeting - June 18, 2026 (Posted 5/29/26)
Hospital Monthly Important Message (Posted 5/18/26)
Attention All Providers, Trading Partners and Drug Labelers: Web Portal Security Question and Notification of Changes effective May 13, 2026 (Posted 5/12/26)
Attention Behavioral Health and Enhanced Care Clinics, Behavioral Health Clinicians, Psychologists, Autism Spectrum Disorder Services, Physician Office and Outpatient Services, Medical Clinics (including School-Based Health Clinics), Rehabilitation Clinics, and Special Services - Clarification on Updates to Fee Schedules and Rate Increases for Select Behavioral Health Services (Posted 4/24/26)
Attention Acquired Brain Injury (ABI), Autism, Connecticut Home Care (CHC), Mental Health (MH), and Personal Care Assistant (PCA) Waiver Service Providers and Home Health Providers: Alternate Electronic Visit Verification (EVV) Files created 4/20/2026 - 4/22/2026 (Posted 4/23/26)
Attention Outpatient Hospitals: CMAP ADDENDUM B Updated (April 22, 2026) (Posted 4/22/26)
Attention All Providers, Trading Partners and Drug Labelers: Web Portal Security Changes effective April 21, 2026 (Posted 4/17/26)
Attention Hospitals: Public Inpatient Psychiatric Hospitals Public Notice (Posted 4/9/26)
Attention All Providers: AI/Bot/Automated Calls (Posted 4/2/26)
Attention Physicians, Physician Assistants, Advanced Practice Registered Nurses, and Certified Nurse Midwives: Updates to Table 4-HUSKY Health Primary Care Increased Payments (Posted 4/1/26)
Attention Private Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID): Medicaid State Plan Amendment: Reimbursement Update (Posted 3/27/26)
Attention Physicians and Physician Assistants (PA): Prior Authorization Requirements for Assistant Surgeons Reminder (Posted 3/23/26)
Attention Physicians, Physician Assistants, APRNs, Certified Nurse Midwives and Doulas: UPDATED: Frequently Asked Questions (FAQ): Connecticut Maternity Bundle Billing and Claims (Posted 1/30/26)
Attention All Providers and Trading Partners: Reminder for Accessing the www.ctdssmap.com Web site (Posted 12/9/25)
Procedures for Updating Client Third Party Liability Information NEW HMS Phone Number: 1-866-252-0671 (Posted 6/7/23)
HUSKY Health Primary Care Payment Program Extension Notification
Click here for Archived Messages
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RA Banner Announcements |
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| Banner Effective Date | Providers | Banner Page Announcement |
| 06/05/2026-06/12/2026 | Attention Pharmacy Providers | Attention Pharmacy Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims which initially paid and posted one of the following informational Ordering, Prescribing, Referring (OPR) Explanation of Benefit (EOB) codes, but for which the provider in question has since successfully enrolled in the Connecticut Medical Assistance Program (CMAP):
* EOB Code 0237-PRESCRIBING PROVIDER IS A STUDENT OR RESIDENT AND MUST BE ENROLLED TO PRESCRIBE
* EOB Code 0027-CLAIM BYPASSED EDIT 0207 DUE TO PPE AUTO-PA
* EOB Code 0207-PRESCRIBER NOT ENROLLED
* EOB Code 0028-PRESCRIBING PROVIDER IN PROCESS OF ENROLLING
* EOB Code 1040-ORDERING/REFERRING/ATTENDING PROVIDER IS NOT ENROLLED ON DATE OF SERVICE
These claims will appear on the June 10, 2026 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52. |
| 06/05/2026-06/12/2026 | Attention Select Providers | Attention Select Providers. REPROCESSED THIS CYCLE: Gainwell Technologies has identified and reprocessed claims which were 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 June 10, 2026 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 June 10, 2026 RA with an ICN beginning with region code 27. |
| 06/05/2026-06/12/2026 | Attention All Providers | Attention All Providers. PROVIDER FILE MAINTENANCE: In order to maintain the accuracy and completeness of the Connecticut Medical Assistance Program (CMAP) network, we are requesting all providers update their provider file on a regular basis. The information that you provide is presented in the on-line provider directory at www.ct.gov/husky. Thousands of members statewide rely on the accuracy of this source of information to find a suitable health care provider. Inaccurate addresses, phone numbers, and names may affect a member's ability to contact you. To update your provider profile, the main account administrator can log into their secure Web account from the www.ctdssmap.com Web site and click on the "Demographic Maintenance" tab. Once on the Demographic Maintenance page, the provider can select from options listed as links below the Demographic Maintenance header panel. For instance, you can update your address* if you happen to move to a new location; all you have to do is click on the "Location Name Address" link, select the address to be updated, click on the "Maintain Address" button to type in the new address and then save your changes. You can also add or remove performing providers to your group practice as applicable by clicking on "Maintain Organization Members". For detailed instructions, please refer to Section 10.18 "Provider Demographic Maintenance" in Chapter 10 of the Provider Manual. The chapter is available from the Web site www.ctdssmap.com by clicking on "Publications" under Information, scrolling down to Provider Manuals and then clicking on "Web Portal/AVRS". Providers may contact the Provider Assistance Center at 1-800-842-8440 between the hours of 8:00 AM to 5:00 PM Monday through Friday if further assistance is needed in updating the information from their secure Web portal account.
*There are special instructions for PCMH providers and licensed facilities such as hospitals, pharmacies, and clinic providers for updating their service location or alternate service location addresses. Please refer to the warning messages on the Web pages, as well as Chapter 10 for additional information. |
| 06/05/2026-06/12/2026 | Attention Select Providers | Attention Select Providers.
RECOUPMENTS IDENTIFIED THIS CYCLE: DSS and Gainwell Technologies have identified maternity bundle case rate payments requiring recoupment for clients with a delivery, termination, or stillbirth trigger more than six months in the past. These recoupments are primarily related to the proactive generation of case rate payments at the end of the month prior to receiving claims that impacted the episode period (ex. delivery, termination, client transition to a different practice). No payments were recouped if there was a maternity bundle zero paid claim during the month. Additionally, future case rate payments will not be issued for a provider/month unless a claim with a date of service in the applicable benefit month is submitted and adjudicates as zero paid. This recoupment is a one-time catch-up of previously identified payments; moving forward, this review and recoupment process will occur on a monthly basis. This activity is separate from and NOT part of the maternity bundle reconciliation process. The recoupments will appear on the June 10, 2026 Remittance Advice (RA) in the Accounts Receivable (AR)/Recoupment Transactions section with a reason code of 8465. |
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Click here for Archived RA Banner Announcements
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