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Important Messages
 


 
RA Banner Announcements
 
Banner Effective DateProvidersBanner Page Announcement
12/06/2019-12/13/2019Attention All ProvidersAttention All Providers. NEW MEDICARE CARD: Providers are reminded that MEDICARE has reissued Medicare cards replacing the Health Insurance Card Number (HICN) with the Medicare Beneficiary Identifier (MBI). Starting January 1, 2020, you must use the MBI when billing MEDICARE regardless of the date of service. Claims will reject if submitted with a HICN, with a few exceptions. For additional information, please visit the CMS Web site at https://www.cms.gov/Medicare/New-Medicare-Card.
12/06/2019-12/13/2019Attention 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". 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. *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.
12/06/2019-12/13/2019Attention All ProvidersAttention 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 December 10, 2019 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 December 10, 2019 RA with an ICN beginning with region code 27.
12/06/2019-12/13/2019Attention All ProvidersAttention 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 December 10, 2019 Remittance Advice (RA) with an Internal Control Number (ICN) beginning with region code 52.
12/06/2019-12/13/2019Attention All ProvidersAttention All Providers NEW PROVIDER WORKSHOP: Newly enrolled Connecticut Medical Assistance Program (CMAP) providers or new office staff are encouraged to attend the New Provider Workshop. This workshop is provided to all CMAP providers free of charge and addresses such topics as claims submission and claims processing, web claim inquiry, eligibility verification and remittance advice. For more details and to register for this free training, please navigate to www.ctdssmap.com, select Provider Training in the Provider Quick Links box then select New Provider Workshop Invitation.
12/06/2019-12/13/2019Attention All ProvidersAttention All Providers. HOLIDAY CLOSURE: Please be advised, the Department of Social Services (DSS) and DXC Technology will be closed on Wednesday, December 25, 2019 in observance of Christmas and on Wednesday, January 1, 2020 in observance of the New Year.
12/06/2019-12/13/2019Attention Community First Choice Intermediary and ABI, Autism and PCA/CHC FiduciaryAttention Community First Choice Intermediary and ABI, Autism and PCA/CHC Fiduciary. REPROCESSED THIS CYCLE: The Department of Social Services (DSS) has requested that DXC reprocess CFC, CFC Money Follows the Person (MFP), Acquired Brain Injury (ABI), ABI MFP, Autism, Personal Care Assistance (PCA) and Connecticut Home Care/ PCA client claims with dates of service submitted in the third quarter of 2017, 2018 and 2019 that previously denied 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 December 10, 2019 Remittance Advise (RA) with an Internal Control Number (ICN) beginning with a Region code 27 for new day claims or 52 for adjusted claims.


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