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Welcome to the Connecticut Medical Assistance Program Web site, provided by Gainwell Technologies on behalf of the Connecticut Department of Social Services. This site provides important information to health care providers about the Connecticut Medical Assistance Program. This site contains a wealth of resources for providers including enrollment, billing manuals, bulletins, program regulations, plus information on Electronic Data Interchange and the Automated Eligibility Verification System.
 
Important Messages
 

Attention All Inpatient Hospital Providers: Diagnosis Related Grouper (DRG) Update (Posted 4/30/25)

Attention Outpatient Hospitals: CMAP Addendum B Updated (April 1, 2025) (Posted 4/30/25)

Attention Safe Harbor Trading Partners: Action Required: Safe Harbor Real-Time Connectivity for 270/271 Eligibility and 276/277 Claim Status (Posted 4/28/25)

Hospital Monthly Important Message (Posted 4/14/25)

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

Attention Chronic Disease Hospitals: Chronic Disease Hospital Reimbursement Public Notice (Posted 2/24/25)

Attention Home Health Agencies: REMINDER OF UPCOMING COPE/CONFIDENT CAREGIVER AND CAPABLE PROVIDER FORUMS (Posted 2/21/25)

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)

ATTENTION ELECTRONIC BILLERS AND TRADING PARTNERS: Change to Electronic Data Interchange Requirements (Posted 2/11/25)

ATTENTION Obstetrics & Gynecology, Family Practice Physicians, Physician Assistants, APRNs and Women's Health APRNs, Certified Nurse Midwives and Doulas: UPDATED Frequently Asked Questions (FAQ): Connecticut Maternity Bundle Billing and Claims (Posted 2/11/25)

Attention Home Health Agencies: UPCOMING COPE/CONFIDENT CAREGIVER AND CAPABLE PROVIDER FORUMS (Posted 2/10/25)

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

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

Attention All Providers: 2024 1099s Available on CMAP Web Site (Posted 1/27/25)

HUSKY Health Primary Care Payment Program Extension Notification


Click here for Archived Messages

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