Providers are responsible for obtaining client eligibility verifications and completing claims according to claim submission requirements. Additionally, providers of services and supplies enrolled in the Connecticut Medical Assistance Program must abide by their provider agreement to comply with the applicable State and Federal laws and regulations and the policies of the Department of Social Services (DSS). In order to qualify for reimbursement from the Connecticut Medical Assistance Program, providers must also meet and maintain the standards and ethics of their profession or business. If a provider fails to comply with regulations governing enrollment and participation under the Connecticut Medical Assistance Program, DSS may, with proper notification, discontinue a provider's participation in the program.

Gainwell Technologies responds to questions on client and provider eligibility, claim submission instructions, claims processing issues and provider enrollment. Questions on these topics should be directed to the Provider Assistance Center. The Provider Assistance Center is the provider's source for information not provided on the Web portal or from the Automated Voice Response System (AVRS).

Providers may contact the Provider Assistance Center at 1-800-842-8440. An alternate TTY/TDD line is also available at 1-866-604-3470.