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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 Federally Qualified Health Center (FQHC) Providers: FQHC Medicaid Supplemental Payment and Recoupment of Prior State-Only Interim Advanced Payment (Posted 6/10/24)

Attention Acquired Brain Injury (ABI), Autism, Connecticut Home Care (CHC), Mental Health (MH), Personal Care Assistant (PCA) Waiver Service Providers: Electronic Visit Verification (EVV) Updates - as of May 31, 2024

Attention Home Health Agencies, Occupational Therapist Groups, and Individual Occupational Therapists: IMPORTANT REMINDER to Register for Upcoming COPE and CAPABLE Provider Forums (Posted 5/29/24)

Attention All Providers: Coverage of Over-the-Counter Formula and Nutritional Supplements for clients Enrolled in the WIC Program and Medicaid (Posted 5/28/24)

Attention Home Health Providers: Explanation of Benefit (EOB) 3332 Claim Denials for Electronic Visit Verification (EVV) Mandated Home Health Services (Posted 5/24/24)

Attention All Providers: Provider bulletin 2024-24 "Interim Payment Request Process for Providers Temporarily Unable to Submit Claims Due to Cyber Attack" - Recoupment of Interim Payment (Posted 5/21/24)

Update on the New Services COPE and CAPABLE! (Posted 5/20/24)

Attention CT BHP Behavioral Health Providers Enrolled in Independent Practice and Group Practice, Psychologists, Licensed Marital and Family Therapists (LMFTs), Licensed Clinical Social Workers (LCSWs), Licensed Professional Counselors (LPCs), Licensed Alcohol and Drug Counselors (LADCs): Attestation Completion Deadline for Behavioral Health Groups and Clinicians (Posted 5/20/24)

Hospital Monthly Important Message (Posted 5/20/24)

Attention Home Health Providers: Electronic Visit Verification (EVV) Updates - as of May 16, 2024

Attention SUD Residential Providers: ACTION REQUIRED SUD Residential Certification Letter Upload Instructions (Posted 5/10/24)

Attention Behavioral Health Clinics: Reminder: Provider Bulletin 2024-11 Revised Deadline: Performing Providers Required for Behavioral Health Clinic Providers (Posted 5/7/24)

Attention Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism and Mental Health (MH) Waiver Service Providers: Important Updates (Posted 4/26/24)

Attention Inpatient Hospital Providers: DRG Grouper Update (Posted 4/23/24)

Attention Outpatient Hospitals: CMAP Addendum B Updated (April 1, 2024) (Posted 4/23/24)

Attention All Providers: Data Loss: Faxed Medical Prior Authorizations (Posted 4/16/24)

Attention Connecticut Home Care (CHC), Personal Care Assistant (PCA), Acquired Brain Injury (ABI), Autism and Mental Health (MH) Service Providers and Home Health Providers: Important Electronic Visit Verification (EVV) Update - Transition from Sandata Mobile to Sandata Mobile Connect (SMC) effective September 3, 2024 (Posted 4/15/24)

Electronic Data InterChange (EDI) Transaction and Trading Partner Updates (Posted 3/7/24)

Attention Providers and Trading Partners: Optum Change Healthcare (CHC) network service interruption (Posted 2/22/24)

ATTENTION Obstetrics & Gynecology and Family Practice Physicians and APRNs, Women's Health APRNs and Certified Nurse Midwives: Register for the HUSKY Maternity Bundle Provider Forum (Posted 2/12/24)

Attention Home Health Providers: Electronic Visit Verification (EVV) Updates as of February 9, 2024

Attention All Board-Certified Behavioral Analysts (BCBAs) and Autism Specialty Groups: BCBA Licensure Requirement for Enrollment in Connecticut Medical Assistance Program (Posted 1/31/24)

Attention All Providers: Revised CT Medical Assistance Program (CMAP) Telehealth Table - Updated the end date to 2024 (Posted 12/27/23)

Attention All Providers: CMAP Telehealth Services (Posted 11/27/23)

Attention Acquired Brain Injury, Connecticut Home Care Program, and Personal Care Services/Assistant (PCA) Providers: Prior Authorization Issue (Posted 11/22/23)

Attention Behavorial Health Clinics: UPDATE Performing Providers Required for Behavioral Health Clinic Claim Submission (Posting 9/22/23)

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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