Provider Bulletins
Recent Provider Bulletins
- DSS Important Message - Prior Authorization Required for Specific J-codes (November 15, 2024)
- 2024.64 - Provider Bulletin - Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients (November 15, 2024)
- DSS Important Message - Announcing Round 2 In-Home Safety Enhancement Applications (November 8, 2024)
- DSS Important Message - Update Regarding Claim Denials for EVV for DOS 07.01.2024 & forward (November 8, 2024)
- DSS Important Message - SUD Ambulatory Cert Letter - Instructions & Billing Reminder 11.07.2024 (November 8, 2024)
- 2024.62 - Provider Bulletin - Submission of Prior Authorization Requests for Medical Goods and Services (November 8, 2024)
- 2024.44 - Provider Bulletin - Maternity Bundle Payment Program (November 8, 2024)
- DSS Important Message - CMAP Addendum B - Updated 10.01.2024 (November 1, 2024)
- DSS Important Message - 3M Grouper and DRG Calculator for ICD-10-CM Updates (November 1, 2024)
- DSS Important Message - Claim Denials for EVV Mandated Services (October 18, 2024)
- DSS Important Message - Hospital Monthly Important Message - 10.15.2024 (October 18, 2024)
- 2024.61 - Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria (October 18, 2024)
- DSS Important Message - Clarification on Bulletin 2024.48 - Establishing Intracity-Intown Mileage Procedure Code (October 18, 2024)
- 2024.48 - Provider Bulletin - Establishing Intracity-Intown Mileage Procedure Code (October 18, 2024)
- DSS Important Message - Claim Denials for EVV Mandated Non-Waiver Home Health Services (October 4, 2024)
- DSS Important Message - SUD Ambulatory Certification Letter Upload Instructions (October 4, 2024)
- DSS Important Message - Updated Pharmacy Prior Authorization Fax Number (October 4, 2024)
- 2024.60 - Provider Bulletin - Pharmacy Local Fax Number Discontinuation (October 4, 2024)
- 2024.50 - Provider Bulletin - Oct 2024 Quarterly HIPAA Compliant Update - Physician Office & OP Fee Schedule (October 4, 2024)
- 2024.59 - Provider Bulletin - Updates to the Diabetic Supply Preferred Product List for Pharmacy Claims (October 4, 2024)
- 2024.58 - Provider Bulletin - Addendum to Medicaid Provider Enrollment and Re-enrollment Process (October 4, 2024)
- 2024.55 - Provider Bulletin - COVID-19 Lab Testing Updates to the Family Planning & Addition of Code to the Family Planning Fee Schedule (October 4, 2024)
- 2024.54 - Provider Bulletin - COVID-19 Lab Medical Clinic Fee Schedule & October 2024 Update – Medical Clinic Fee Schedule (October 4, 2024)
- 2024.53 - Provider Bulletin - October 2024 HIPAA Compliant Updates for MEDS (October 4, 2024)
- 2024.52 - Provider Bulletin - Updated COVID-19 Vaccine Admin & Pharmacy Coverage for at home COVID Test kits (October 4, 2024)
- 2024.49 - Provider Bulletin - COVID-19 Laboratory Testing Updates to Independent Laboratory Fee Schedule (October 4, 2024)
- 2024.47 - Provider Bulletin - Hospice Rates for Federal Fiscal Year 2025 (October 4, 2024)
- 2024.46 - Provider Bulletin - Medicaid Coverage of Evaluation - Management Visits Performed by Chiropractors (October 4, 2024)
- ***September 2024 interChange Newsletter*** (October 4, 2024)
- DSS Important Message - Hospital Monthly Important Message - 09.17.2024 (September 20, 2024)
- DSS Important Message - Recent Recoupment of Claims (September 20, 2024)
- 2024.51 - Provider Bulletin - Pharmacists Ordering-Prescribing - Administering Vaccines (September 17, 2024)
- DSS Important Message - URGENT - Transition from Sandata Mobile to Sandata Mobile Connect 09.04.2024 (August 30, 2024)
- DSS Important Message - Behavioral Health Refresher Workshop (August 30, 2024)
- DSS Important Message - In-Home Safety Enhancements Updates (August 23, 2024)
- DSS Important Message - Reimbursement Rate Increases for Select Behavioral Health Services for Children (August 23, 2024)
- DSS Important Message - Claim Denials for EVV Mandated Non-Waiver Home Health Services (August 23, 2024)
- DSS Important Message - Hospital Monthly Important Message - 08.20.2024 (August 23, 2024)
- DSS Important Message - ACTION REQUIRED to receive 2% rate increase through value-based payments (VBP) (August 23, 2024)
- DSS Important Message - Hospital Refresher Workshop Invitation - 09.2024 (August 16, 2024)
- DSS Important Message - Professional Billing Refresher Workshop Invitation - 09.2024 (August 16, 2024)
- DSS Important Message - New Provider Workshop Invitation 09.10.2024 (August 9, 2024)
- DSS Important Message - Applications for In-home Safety enhancements will be available beginning 08.07.2024 (August 9, 2024)
- DSS Important Message - CMAP Addendum B Updated 07.01.2024 (July 26, 2024)
- 2024.45 - Provider Bulletin - April 2024 - Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes (July 26, 2024)
- DSS Important Message - Hospital Monthly Important Message 07.16.2024 (July 19, 2024)
- DSS Important Message - Provider Electronic Funds Delay 07.09.2024 (July 12, 2024)
- 2024.40 - Provider Bulletin - Addition of Chronic Disease Hospitals and Acute Rehabilitation Facilities PA (July 12, 2024)
- 2024.43 - Provider Bulletin - Changes to the Ambulance Fee Schedule (July 12, 2024)
- 2024.42 - Provider Bulletin - Removal of PA from Wheelchair Repair Procedure Codes - Pricing for Repair Codes (July 12, 2024)
- 2024.41 - Provider Bulletin - Confirmation of Receipt of Prescriptions Covered Under CMAP (July 12, 2024)
- ***June 2024 InterChange Newsletter*** (July 12, 2024)
- DSS Important Message - Hospital Reimbursement Public Notice (June 28, 2024)
- DSS Important Message - Electronic Visit Verification Updates – 06.25.2024 (June 28, 2024)
- DSS Important Message - Medicaid State Plan Amendment - Reimbursement Update (June 28, 2024)
- DSS Important Message - Hospital Monthly Important Message - 06.18.2024 (June 28, 2024)
- 2024.39 - Provider Bulletin - Reimbursement Rate Increases for Select Behavioral Health Services for Children (June 28, 2024)
- 2024.38 - Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria (June 28, 2024)
- 2024.37 - Provider Bulletin - Private Non-Medical Institution Rate for Adult Mental Health Rehabilitation Services (June 28, 2024)
- 2024.36 - Provider Bulletin - July 2024 Quarterly HIPAA Compliant Update - Physician Office and Outpatient Fee Schedule (June 28, 2024)
- 2024.35 - Provider Bulletin - Addition of HCPCS Code V2799 to the Medical Authorization Portal (June 28, 2024)
- ***June 2024 DUR Board Newsletter*** (June 28, 2024)
- DSS Important Message - FQHC Medicaid Supplemental Payment & Recoupment of Prior State-Only Interim Advanced Payment (June 14, 2024)
- Electronic Visit Verification Updates – 05.31.2024 (June 7, 2024)
- IMPORTANT REMINDER to Register for Upcoming COPE and CAPABLE Provider Forums (May 31, 2024)
- DSS Important Message - EOB 3332 Claim Denials for EVV Mandated Home Health Services (May 31, 2024)
- DSS Important Message - Coverage of OTC Formula & Nutritional Supplements for Clients with WIC & Medicaid May 31, 2024)
- 2024.34 - Provider Bulletin - 07.01.2024 Changes to the Connecticut Medicaid Preferred Drug List (May 31, 2024)
- 2024.33 - Provider Bulletin - Coverage of OTC Formula & Nutritional Supplements for Clients with WIC & Medicaid (May 31, 2024)
- Update on the New Services COPE and CAPABLE! (May 24, 2024)
- Hospital Monthly Important Message - 05.21.2024 (May 24, 2024)
- Bulletin 2024.24 Update - Interim Payment Request Process for Providers Temporarily Unable to Submit Claims Due to Cyber Attack - Recoupment of Interim Payment (May 24, 2024)
- Attestation Completion Deadline for Behavioral Health Groups and Clinicians (May 24, 2024)
- 2024.32 - Provider Bulletin - Addition of Retrospective Requests to Medical Authorization Portal (May 24, 2024)
- 2024.31 - Provider Bulletin - Attestation Form for Qualifying Clinical Trials (May 24, 2024)
- SUD Residential Certification Letter Upload Instructions (May 17, 2024)
- New Provider Workshop (May 17, 2024)
- Electronic Visit Verification Updates - 05.16.2024 (May 17, 2024)
- Electronic Claims Submission - Web Remittance Advice - Check - EFT & 835 Schedule (May 10, 2024)
- Addition of Genetic Testing to Medical Authorization Portal (May 10, 2024)
- Revised Deadline - Required for Behavioral Health Clinic Providers 06.01.2024 (May 10, 2024)
- DSS Important Message - EVV - Personal Care Services Town Hall Session (May 3, 2024)
- 2024.25 - Provider Bulletin Coverage of Outpatient Human Donor Breast Milk (May 3, 2024)
- 2024.27 - Provider Bulletin Updates to the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices (April 26, 2024)
- 2024.26 - Provider Bulletin Update to the Automated Eligibility Verification Response (April 26, 2024)
- Faxed Medical Prior Authorizations (April 19, 2024)
- Transition to Sandata Mobile Connect effective 09.03.2024 (April 19, 2024)
- Hospital Monthly Important Message - 04.16.2024 (April 19, 2024)
- Post and Pay Status for EOB Code 3328 (April 19, 2024)
- Waiver Service Provider Refresher Workshop Invitation (April 19, 2024)
- Claim Denials for EVV Mandated Home Health Services (April 19, 2024)
- DSS Important Message - Alternate Electronic Visit Verification - Personal Care Services Town Hall Session (April 8, 2024)
- New Fiscal Intermediary for CT - GT Independence to support Waiver - S&PC Credentialing Process (April 8, 2024)
- DSS Important Message - Important Electronic Visit Verification Reminders - 03.22.2024 (April 8, 2024)
- 2024.24 - Provider Bulletin Interim Payment Request Process for Providers Temporarily Unable to Submit Claims Due to Cyber Attack (April 8, 2024)
- 2024.23 - Provider Bulletin Policy Updates and Changes to Clinical Review Criteria (April 8, 2024)
- 2024.21 - Provider Bulletin Updates to the Person Centered Medical Home Program (April 8, 2024)
- 2024.20 - Provider Bulletin April 2024 HIPAA Compliant Updates for MEDS (April 8, 2024)
- 2024.19 - Provider Bulletin Addition of Lab Services to the Family Planning Clinic Fee Schedule (April 8, 2024)
- 2024.18 - Provider Bulletin April 2024 Quarterly HIPAA Compliant Update – Behavioral Health Clinics (April 8, 2024)
- 2024.17 - Provider Bulletin April 2024 Quarterly HIPAA Compliant Update - Physician Office and Outpatient Fee Schedule (April 8, 2024)
- ***March 2024 InterChange Newsletter*** (April 8, 2024)
- DSS Important Message - Hospital Monthly Important Message - 3.19.2024 (March 22, 2024)
- 2024.22 - Provider Bulletin Open Vendor EVV Model Implementation for PCS – Technical Specification and Town Hall Reg (March 22, 2024)
- 2024.16 - Provider Bulletin Children's Mental Health Urgent Crisis Centers Services for Children 18 Years Old & Younger (March 22, 2024)
- ****March 2024 DUR Board Newsletter **** (March 22, 2024)
- 2024.14 - Provider Bulletin Addition of Modifier (March 15, 2024)
- 2024.15 - Provider Bulletin Open Vendor Electronic Visit Verification Model Implementation for Personal Care (March 15, 2024)
- DSS Important Message - Electronic Data InterChange Transaction & Trading Partner Updates (March 8, 2024)
- DSS Important Message - Service Interruption Updated 02.29.2024 (March 1, 2024)
- DSS Important Message - Service Interruption 02.26.2024 (March 1, 2024)
- DSS Important Message - Options for Pharmacies Affected by Optum Change Healthcare Network Service Interruption (March 1, 2024)
- 2024.13 - Provider Bulletin Claim Adjustment Reason Codes Changes on the X12 835 Health Care Claim Payment - Advice (March 1, 2024)
- 2024.10 - Provider Bulletin Reimbursement on Pharmacy POS claims for Blood Glucose Test Strips & Alcohol Prep Pads (March 1, 2024)
- DSS Important Message - New Provider Workshop Invitation (February 23, 2024)
- DSS Important Message - Hospital Monthly Important Message - 02.20.2024 (February 23, 2024)
- 2024.11 - Provider Bulletin Revised Deadline - Performing Providers Required for Behavioral Health Clinic Providers (February 23, 2024)
- 2024.07 - Provider Bulletin Addendum to the Provider Enrollment Agreement for Nursing Facilities - Updated 02.16.2023 (February 23, 2024)
- DSS Important Message - Register for the HUSKY Maternity Bundle Provider Forum (February 16, 2024)
- DSS Important Message - Electronic Visit Verification Updates as of 02.09.2024 (February 16, 2024)
- 2024.09 - Provider Bulletin Place of Service Requirements for Substance Use Disorder Treatment (February 16, 2024)
- 2024.08 - Provider Bulletin Clarifying Billing Guidance for Periodontal Services (February 12, 2024)
- DSS Important Message - BCBA Licensure Requirement for Enrollment in Connecticut Medical Assistance Program (February 5, 2024)
- 2024.07 - Provider Bulletin Addendum to the Provider Enrollment Agreement for Nursing Facilities (February 5, 2024)
- 2024.06 - Provider Bulletin Payment Error Rate Measurement Program Audit Requests (February 5, 2024)
- 2024.05 - Provider Bulletin Updated Rates for Manually Priced Procedure Codes & Contraceptive Devices (February 5, 2024)
- 2024.04 - Provider Bulletin Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes (January 26, 2024)
- DSS Important Message - CMAP Addendum B Updated 01.01.2024 (January 26, 2024)
- DSS Important Message - Electronic Visit Verification Updates (January 19, 2024)
- DSS Important Message - Hospital Monthly Important Message (January 19, 2024)
- DSS Important Message Medicare Part A Crossover Claims (January 16, 2024)
- DSS Important Message Home Health Authorizations - Upcoming Change (January 16, 2024)
- DSS Important Message Electronic Visit Verification Updates – as of 01.09.2024 (January 16, 2024)
- 2024.03 - Provider Bulletin Connecticut Medical Assistance Program Provider Satisfaction Survey (January 16, 2024)
- 2024.02 - Provider Bulletin Mental Health Access Improvement Act (January 16, 2024)
- 2024.01 - Provider Bulletin Rate Increases to Delivered Meals and Adult Day Services - Updated 01.09.2024 (January 16, 2024)
- DSS Important Message - DRG Calculator (January 5, 2024)
- DSS Important Message - Opportunity for Home Health Agencies to take part in new services - COPE and CAPABLE (January 5, 2024)
- DSS Important Message - Revised CMAP Telehealth Table – Updated the end date to 2024 (January 5, 2024)
- 2023.88 Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria (January 5, 2024)
- 2023.87 Provider Bulletin - January 2024 Quarterly HIPAA Compliant Updates – Behavioral Health Clinic Fee Schedules (January 5, 2024)
- 2023.86 Provider Bulletin - Physician Administered Drugs - Dialysis Clinic & Family Planning Clinic Fee Schedules (January 5, 2024)
- 2023.85 Provider Bulletin - January 2024 HIPAA Compliant Updates for MEDS (January 5, 2024)
- 2023.84 Provider Bulletin - January 2024 Quarterly HIPAA Compliant Update – Laboratory Fee Schedule (January 5, 2024)
Archived Bulletins
- ***December 2023 interChange Newsletter*** (December 29, 2023)
- DSS Important Message - Prior Authorization Issue (December 26, 2023)
- DSS Important Message - Hospital Monthly Important Message - 12.19.2023 (December 26, 2023)
- 2023.82 Provider Bulletin - January 2024 Quarterly Updates - Medical Clinic Fees & Physician Administered Drugs (December 26, 2023)
- 2023.81 Provider Bulletin - Out-of-State and Border Hospital Reimbursement - Effective 01.01.2024 (December 26, 2023)
- 2023.80 Provider Bulletin - Update to the Inpatient Hospital Adjustment Factors & APR DRG Weights (December 26, 2023)
- 2023.79 Provider Bulletin - January 2024 Quarterly Updates - Dental Fee Schedules for Adult and Children (December 26, 2023)
- 2023.77 Provider Bulletin - January 2024 Quarterly Update - Clinic - Ambulatory Surgical Center Fee Schedule (December 26, 2023)
- 2023.75 Provider Bulletin - Reimbursement Rates for Nursing Services for HH Adult Complex & High Tech Level of Care (December 26, 2023)
- 2023.74 Provider Bulletin - January 2024 Update to the Independent Audiology - Speech - Language Pathology Fee Schedule (December 26, 2023)
- 2023.73 Provider Bulletin - January 2024 HIPAA Compliant Update to Rehabilitation Clinic Fee Schedule (December 26, 2023)
- 2023.71 Provider Bulletin - January 2024 Quarterly Updates - Physician - Office - Surgery & Outpatient Fee Schedules (December 26, 2023)
- 2023.70 Provider Bulletin - January 2024 Independent Radiology and Physician-Radiology Fee Schedules - Quarterly Update (December 26, 2023)
- 2023.69 Provider Bulletin - Addition of Periodontal Benefits (December 26, 2023)
- ***DSS Important Message - December 2023 DUR Board Newsletter*** (December 26, 2023)
- DSS Important Message - Electronic Visit Verification Updates - 12.14.2023 (December 15, 2023)
- 2023.78 Provider Bulletin - Obstetrics Pay for Performance Extended (December 15, 2023)
- DSS Important Message - Dental Provider Refresher Workshop Invitation (December 8, 2023)
- DSS Important Message - Mental Health Access Improvement Act (December 8, 2023)
- DSS Important Message - New Provider Workshop Invitation (December 8, 2023)
- 2023.76 Provider Bulletin - 01.01.2024 Changes to the PDL - 5 day Emergency Supply - Billing for Brand Name Meds - Pharmacy Web PA (December 8, 2023)
- DSS Important Message - Prior Authorization Issue (December 1, 2023)
- DSS Important Message - Opportunity for Home Health Agencies to take part in new services - COPE & CAPABLE (December 1, 2023)
- DSS Important Message - Hospital Monthly Important Message - 11.21.2023 (December 1, 2023)
- DSS Important Message - CMAP Telehealth Services (December 1, 2023)
- DSS Important Message - Hospital Refresher Workshop Invitation (November 20, 2023)
- DSS Important Message - Register for the HUSKY Maternity Bundle Provider Forum (November 20, 2023)
- 2023.68 Provider Bulletin - Electronic Claims Submission - Web Remittance Advice - Check - EFT & 835 Schedule (November 20, 2023)
- 2023.67 Provider Bulletin - Prior Authorization Threshold for Procedure Code B9998 – NOC Enteral Supplies (November 20, 2023)
- Sandata Agency Management System Update to Medication Administration Visits less than Eight Minutes (November 6, 2023)
- CMAP Addendum B Updated and New DRG Codes Added to Calculator 10.01.2023
(November 6, 2023) - COVID-19 Vaccine Procedure Code Updates (November 6, 2023)
- 2023.66 Provider Bulletin - Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients (November 6, 2023)
- 2023.63 Provider Bulletin - Pediatric Inpatient Psychiatric Services (November 6, 2023)
- Long Term Care Refresher Workshop Invitation (October 31, 2023)
- Hospital Monthly Important Message - 10.17.2023 (October 31, 2023)
- Sandata Agency Management Auto-Confirm Solution Update (October 31, 2023)
- EVV Updates - Sandata Management Auto Confirm - Visit Feature - Customer Support - Resources (October 31, 2023)
- TE Performing Providers Req for BH Clinic Claim Submission (October 31, 2023)
- 2023.65 Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria (October 31, 2023)
- 2023.64 Provider Bulletin - New Hepatitis C Policy (October 31, 2023)
- 2023.62 Provider Bulletin - Veyo Transition for MTM (October 31, 2023)
- 2023.60 Provider Bulletin - Rate Increases for Home Health and Community Based Services (October 31, 2023)
- 2023.59 Provider Bulletin - Hospice Rates for Federal Fiscal year 2024 (October 31, 2023)
- 2023.36 Provider Bulletin - Mileage Procedure Code (October 31, 2023)
- DSS Important Message - Hospital Monthly Important Message - 9.12.2023 (September 27, 2023)
- Behavioral Health Clinician Groups and Individual Clinicians in Independent Practice FAQ (September 18, 2023)
- Upload Process Reminder for Home Health Providers Currently Utilizing SAM and Important EVV Onboarding (September 18, 2023)
- ACTION REQUIRED to receive 2 percent rate increase through value-based payments (September 18, 2023)
- ACTION REQUIRED to receive 2 percent rate increase through value-based payments - Updated 09-08-2023 (September 18, 2023)
- Veyo Transition to MTM (September 18, 2023)
- September 2023 DUR Board Newsletter (September 18, 2023)
- Professional Provider Refresher Workshop Invitation (September 12, 2023)
- Chronic Disease Hospital Reimbursement Public Notice (August 29, 2023)
- Reimbursement for MEDS and DME for Outpatient and Chronic Disease Hospitals (August 29, 2023)
- Provider Portal Update for Behavioral Health Attestation Status (August 25, 2023)
- Overview of Electronic Visit Verification Home Health Care Services Implementation (August 25, 2023)
- Hospital Monthly Important Message - 08.08.2023 (August 25, 2023)
- Addition of Screening, Brief Intervention and Referral to Treatment Codes to the Clinic Fee Schedules (August 25, 2023)
- New Procedure Codes for Evaluation and Management Services to Dental Fee (August 25, 2023)
- DBH Clinician Groups and Individual Clinicians in Independent Practice FAQ updated 07/26/2023 (August 9, 2023)
- PCMH+ Payments Delayed for Second Cycle in July (August 9, 2023)
- 2023.44 - Performing Providers Required for Behavioral Health Clinic Providers - Updated 07.31.2023 (August 9, 2023)
- 2023.56 - Attestation Req for BH Clinician Groups and BH Licensed Clinicians - Updated 07.25.23 (August 9, 2023)
- DSS Important Message - Medical Authorizations - PA Requirement Look-Up (July 24, 2023)
- Attestation Req for Behavioral Health Clinician Groups & Behavioral Health Licensed Clinicians (July 24, 2023)
- Updated Guidance Coverage of Targeted Case Management for Integrated Care for Kids in New Haven (July 24, 2023)
- DSS Important Message - Provider Audit Requirements (July 19, 2023)
- New Medicaid Coverage of Targeted Case Management for Integrated Care for Kids in New Haven (July 19, 2023)
- Multi-disciplinary Examinations for Medical - Behavioral Health & Dental Services (July 19, 2023)
- Policy Updates & Changes to Clinical Review Criteria (July 19, 2023)
- Value Based Payment June 2023 Benchmark Quarter - Action Required (July 7, 2023)
- Updated HH Tech Spec Alternate EVV FAQ Posted, Sandata Agency Training Recordings & Rescheduled Training (July 7, 2023)
- DSS Important Message - ICF - IID Reimbursement Public Notice (July 7, 2023)
- Sandata Agency Training Dates for New Users & EVV Home Health Implementation Training Requirements (July 7, 2023)
- 2023.52 - Updates to the CHESS Reimbursement Process (July 7, 2023)
- 2023.51 - Clinical Treatment Hours for SUD Intensive Outpatient and Partial Hospitalization Programs (July 7, 2023)
- 2023.50 - Reimbursement for Intermediate Substance Use Disorder Treatment at Behavioral Health FQHCs (July 7, 2023)
- 2023.49 - Rate Increases for Select Home Health and Home and Community Based Services (July 7, 2023)
- 2023.47 - July 2023 Quarterly HIPAA Compliant Update-Physician Office and Outpatient Fee Schedule (July 7, 2023)
- 2023.46 - July 2023 HIPAA Update to Medical Equipment Devices and Supplies Fee Schedule (July 7, 2023)
- 2023.45 - Continuation of Add-on Rate for Vent Bed Stays for Chronic Disease Hospitals (July 7, 2023)
- SAM User Trainings for June 15, 2023 & June 16, 2023 - RESCHEDULED (June 19, 2023)
- Reimbursement Public Notice for SPA 23-0013 Private ICF - IID Supplemental Payment (June 19, 2023)
- Hospital Monthly Important Message - 6/13/2023 (June 19, 2023)
- Obstetrics Pay for Performance (June 19, 2023)
- Performing Providers Required for Behavioral Health Clinic Providers (June 19, 2023)
- Private Non-Medical Institution Rates for Adult Mental Health Rehabilitation Services (June 19, 2023)
- Revised W10 Form - Inter-Agency Patient Referral Report (June 19, 2023)
- Policy Updates and Changes to Clinical Review Criteria (June 19, 2023)
- Procedure Code G0330 & Bariatric Surgery Procedure Code 43775 (June 19, 2023)
- New Attestation Requirement for BH Clinician Groups & Solo Clinicians in Independent Practice (June 19, 2023)
- Sandata Agency Management Training Dates and Registration Links for Existing and New Users 06.02.2023 (June 12, 2023)
- HUSKY Renewal Reminder - Pharmacy (June 12, 2023)
- Performing Providers Required for Behavioral Health Clinic Providers (June 12, 2023)
- Revised W10 Form - Inter-Agency Patient Referral Report (June 12, 2023)
- Addition of Procedure Code G0330 - Rate Increase of Bariatric Surgery Procedure Code 43775 (June 12, 2023)
- Changes to the Connecticut Medicaid Preferred Drug List 07.01.2023 (June 6, 2023)
- Reminder Vehicle Registration Information Requirement (May 30, 2023)
- Home Health Refresher Workshop (May 30, 2023)
- Home Health Providers Reminders (May 30, 2023)
- Understanding the Unwinding - Provider Webinar (May 30, 2023)
- Electronic Claims Submission - Web Remittance Advice - Check - EFT & 835 Schedule (May 30, 2023)
- Behavioral Health Clinician Groups and Individual Clinicians in Independent Practice FAQ (May 12, 2023)
- Updating Dental Code for Billing for Multidisciplinary Examinations (May 12, 2023)
- Hospital Reimbursement Public Notice - 05.09.2023 (May 12, 2023)
- Hospital Monthly Important Message - 05.09.2023 (May 12, 2023)
- Electronic Visit Verification - Compliance Requirement Update (May 12, 2023)
- Guidance for Services Rendered via Telehealth (May 12, 2023)
- CMAP Addendum B April 2023 - Posted 04.28.2023 (May 5, 2023)
- Addition of PA on Select Radiology Procedure Codes - Correction
(May 5, 2023) - Sunsetting Home & Community Based Waiver Program (May 5, 2023)
- April 2023 Outpatient & Office Fee Schedule Update (May 5, 2023)
- DSS Important Message - Incorrect PA Effective Date in the SAM System - Duplicate HH Procedure Codes (April 28, 2023)
- DSS Important Message - DRG Grouper Update (April 28, 2023)
- 2023.37 Provider Bulletin - Addition of PA on Select Radiology Procedure Codes (April 28, 2023)
- 2023.22 Provider Bulletin - Updated Billing Guidance Regarding COVID-19 High-Throughput Technology Codes (April 17, 2023)
- 2023.24 Provider Bulletin - Updated Guidance - Home Health and Hospice Services - Ending Temporary Flexibilities (April 17, 2023)
- 2023.26 Provider Bulletin - Mobile Narcotic Treatment Vehicles (April 17, 2023)
- 2023.30 Provider Bulletin - COVID19 Vaccine Administration Guidance (April 17, 2023)
- 2023.31 Provider Bulletin - Sunsetting Provider Bulletins Issued in Response to the COVID19 Public Health Emergency (April 17, 2023)
- 2023.32 Provider Bulletin - Discontinuation of the Optional COVID19 Testing Group - Effective 05.12.2023 (April 17, 2023)
- 2023.33 Provider Bulletin - Reinstating Face-to-Face Req & Allowing Telemed for Physiatrist Assessments for Customized Wheelchairs (April 17, 2023)
- 2023.34 Provider Bulletin - Public Health Emergency Eligibility Unwinding (April 17, 2023)
- DSS Important Message - Hospital Monthly Important Message - 04.11.2023 (April 17, 2023)
- DSS Important Message - Automated Voice Response System Downtime Notification (April 17, 2023)
- DSS Important Message - Sandata Agency Management Training Dates and Registration Links for Existing & New Users (April 6, 2023)
- DSS Important Message - Notification of Edit 3327 to Post and Pay for Home Health Claims & EVV Specs (April 6, 2023)
- DSS Important Message - Procedural Changes for Home & Community Based Waiver Programs (April 6, 2023)
- DSS Important Message - HUSKY Health Secure Provider Web Portal Sign Up (April 6, 2023)
- 2023.29 Provider Bulletin - State Funded Postpartum Care for Non-Citizens (April 6, 2023)
- 2023.23 Provider Bulletin - Guidance for School-Based Child Health Services Rendered via Telehealth under CMAP (April 6, 2023)
- 2023.21 Provider Bulletin - Prior Authorization for Inpatient Elective Admissions (April 6, 2023)
- 2023.18 Provider Bulletin - New Guidance for Services Rendered via Telehealth under CMAP
(April 6, 2023) - 2023.20 Provider Bulletin - COVID19 Laboratory Testing Coverage (April 6, 2023)
- DSS Important Message - Home Health Agencies HUSKY Health Secure Provider Web Portal Sign Up (March 20, 2023)
- DSS Important Message - Hospital Monthly Important Message - 03.13.2023 (March 20, 2023)
- 2023.19 Provider Bulletin - Reinstating Non - Emergency Medical - Ambulance Transportation (March 20, 2023)
- 2023.17 Provider Bulletin - Coverage of At Home COVID-19 Over the Counter Test Kits (March 20, 2023)
- 2023.16 Provider Bulletin - Expiration of Temporary Effective Period & Claim Submission Requirements for Coagulation Factors (March 20, 2023)
- 2023.15 Provider Bulletin - New Hepatitis C Policy (March 20, 2023)
- 2023.13 Provider Bulletin - 2023 Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes (March 20, 2023)
- 2023.12 Provider Bulletin - Changes to the Dental Fee Schedule (March 20, 2023)
- 2023.11 Provider Bulletin - Reinstating Enhanced Care Clinic Access Requirements (March 20, 2023)
- ****March 2023 DUR Board Newsletter**** (March 20, 2023)
- DSS Important Message - EVV Town Hall Session #3 Registration (March 13, 2023)
- DSS Important Message - EVV Town Hall Recordings available on the CMAP Web site & EVV Survey (March 13, 2023)
- DSS Important Message - Alternate EVV Provider - Vendor Registration and Notification of Revised Provider Bulletin 2023-07 (March 6, 2023)
- DSS Important Message - Beacon Health Options to become Carelon Behavioral Health (March 6, 2023)
- DSS Important Message - Updated CMAP Addendum B January 2023 - 02.24.2023 (March 6, 2023)
- 2023.04 Provider Bulletin - Home and Community Based Services American Rescue Plan Initiatives for the Medicare Savings Program (March 6, 2023)
- DSS Important Message - Reminder for Home Health Providers and EVV Vendors to Register for the Town Hall Sessions (February 24, 2023)
- 2023.09 Provider Bulletin - Reimbursement for Intermediate Substance Use Disorder Treatment at Outpatient Hospitals (February 24, 2023)
- DSS Important Message - Monkeypox Testing and Vaccines in the Outpatient Hospital Setting (February 20, 2023)
- DSS Important Message - Hospital Monthly Important Message - 02.14.2023 (February 20, 2023)
- DSS Important Message - Case Management PA Update (February 20, 2023)
- 2023.10 Provider Bulletin - EVV Town Hall Notification and File Specifications (February 20, 2023)
- 2023.08 Provider Bulletin - End Date of Add-on Rate for Ventilation Bed Stays for Chronic Disease Hospitals (February 20, 2023)
- 2023.06 Provider Bulletin - Updated Billing Instructions for Sevenfact (February 20, 2023)
- 2023.02 Provider Bulletin - Policy Updates and Changes to Clinical Review Criteria 02.14.2023 (February 20, 2023)
- HDSS Important Message - Reminder of EVV Provider Survey and Upcoming Town Hall Session Dates (February 17, 2023)
- Home Health EVV Implementations Update & Survey (February 7, 2023)
- Changes to Pharmacy Claims for Dexcom G6-7 & Freestyle Libre 2 Monitoring Products (February 7, 2023)
- CMAP Addendum B (January 30, 2023)
- New Opportunity for OT & RN who work for HHA and Individual Occupational Therapist Groups (January 30, 2023)
- Hospital Monthly Important Message (January 24, 2023)
- Reminder of Re-enrollment Periods for Pharmacy Providers (January 24, 2023)
- Updates to the Caries Risk Assessment Tool and New Caries Risk Assessment Web based Training (January 24, 2023)
- Provider Satisfaction Survey (January 24, 2023)
- Policy Updates and Changes to Clinical Review Criteria (January 24, 2023)
- DRG Calculator 2023 IM Updated - 1/5/23 (January 10, 2023)
- DRG Calculator 2023 IM Updated - 1/4/23 (January 10, 2023)
- DRG Calculator 2023 IM (January 10, 2023)
- Dental Mass Adjustment Delay Notification (January 10, 2023)
- New Opportunity for OT & RN who work for HHA and Individual Occupational Therapist Groups (January 10, 2023)
- Medical Authorization Portal – Inpatient Emergent Admissions (January 10, 2023)
- Updates to the Caries Risk Assessment Tool & New Caries Risk Assessment Web based Training (January 10, 2023)
- Billing Clarification for SUD Treatment (January 10, 2023)
- Autism Waiver Addition of Nutrition Service (December 31, 2022)
- Rate Increase on Select Behavioral Health Services (December 31, 2022)
- Guidelines for Smoking & Tobacco Use Cessation Agents for HUSKY B Members (December 31, 2022)
- Physician Administered Drugs on the BH Fee Schedule & Addition of Buprenorphine naloxone (December 31, 2022)
- January 2023 HIPAA Compliant Updates to the Physician Administered Drugs on the Medical Clinic Fee Schedule (December 31, 2022)
- Reimbursement Increase for ParaGard LARC & Physician Administered Drugs (December 31, 2022)
- January 2023 HIPAA Update for DME & and MSS Fee Schedule (December 31, 2022)
- January 2023 HIPAA Compliant Updates to the Dental Fee Schedules (December 31, 2022)
- January 2023 HIPAA Compliant Updates to the Freestanding Ambulatory Surgical Center Fee (December 31, 2022)
- Addition of Cochlear Implant Analysis & Standardized Cognitive Testing Services (December 31, 2022)
- January 2023 HIPAA Compliant Updates to the Dialysis Clinic (December 31, 2022)
- January 2023 HIPAA Compliant Updates to the Physician Office - Outpatient & Surgery Fee Schedules (December 31, 2022)
- January 2023 HIPAA Compliant Updates to the Independent Radiology and Physician-Radiology Fee Schedules (December 31, 2022)
- January 2023 HIPAA Compliant Changes to the Laboratory Fee Schedule (December 31, 2022)
- Revising the Rates for Select Mammography Codes (December 31, 2022)
- December 2022 InterChange Newsletter (December 23, 2022)
- Out-of-State and Border Hospital Reimbursement (December 23, 2022)
- Annual Update to the Inpatient Hospital Adjustment Factors and Update to the APR-DRG Weights (December 23, 2022)
- DSS Important Message - New Opportunity for OT & RN who work for HHA & OT Groups to take part in COPE and CAPABLE (December 23, 2022)
- DSS Important Message - Hospital Monthly Important Message (December 19, 2022)
- Activating Attending Provider Requirements (December 19, 2022)
- New Eligibility Groups State HUSKY A and HUSKY B (December 19, 2022)
- December 2022 DUR Board Newsletter (December 19, 2022)
- Changes to the Connecticut Medicaid Preferred Drug List (December 11, 2022)
- Electronic Claims Submission - Web Remittance Advice Schedule (December 11, 2022)
- Ambulatory Withdrawal Management Billing Guidelines (December 11, 2022)
- DSS Important Message - CMAP Addendum B October 2022 (December 11, 2022)
- Notifications-Maternity Admissions with Delivery (November 15, 2022)
- Reimbursement for SUD Treatment at Clinics and Outpatient Drug and Alcohol Abuse Centers (November 15, 2022)
- DSS Important Message - Electronic Visit Verification Implementation Update (November 15, 2022)
- DSS Important Message - Hospital Monthly Important Message (November 15, 2022)
- DSS Important Message - CMAP Addendum B October 2022 (November 15, 2022)
- Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients (November 7, 2022)
- Outpatient Crossover Claims – New Web Claim Submission Panel (November 7, 2022)
- DSS Important Message - Medical Authorization Portal - Instant Approvals (November 7, 2022)
- 2022 Dental Fee Schedule Update for CDT D1354 (October 24, 2022)
- Correction to Rates for Home Health Services Effective for 07.01.2021 to 07.31.2021 (October 24, 2022)
- DSS Important Message - Hospice Refresher Workshop (October 24, 2022)
- Independent Laboratory Fee Schedule (October 24, 2022)
- Removal of Prior Authorization for Select Behavioral Health Services (October 24, 2022)
- Billing Guidance for Long-Acting Reversible Contraceptive Devices in the FQHC Setting (October 24, 2022)
- Policy Updates and Changes to Clinical Review Criteria (October 24, 2022)
- DSS Important Message - Hospital Monthly Important Message (October 24, 2022)
- DSS Important Message - EVV Implementation Update (October 24, 2022)
- DSS Important Message - Change in Value Based Payment Requirement for Participation in Racial Equity Training (October 24, 2022)
- DSS Important Message - 1% Value Based Payment - Immediate Action Required (October 24, 2022)
- Removal of Age Restriction for Naturopath Services Performed to Members 21 Years and Older (October 5, 2022)
- DME Fee Schedule (October 5, 2022)
- Clarification of Provider Bulletin 2022.45 - Billing Updates for Dental T1015 Encounter Codes (October 5, 2022)
- Family Planning Clinic Fee Schedule (October 5, 2022)
- Medical Clinic Fee Schedule (October 5, 2022)
- Physician Office and Outpatient Fee Schedule (October 5, 2022)
- DSS Important Message - Hospital Monthly Important Message (September 30, 2022)
- Guidance for Services Rendered by Behavioral Health Clinician in Private Practice (September 30, 2022)
- Hospice Rates for Federal Fiscal Year 2023 (September 30, 2022)
- Clarification for APRNs Authorized to Order Home Health Services (September 30, 2022)
- September 2022 DUR Board Newsletter (September 30, 2022)
- Provider Bulletin - Pharmacy Prior Authorization (September 9, 2022)
- DSS Important Message - Professional Refresher Workshop (September 9, 2022)
- DSS Important Message - Waiver Service Provider Refresher Workshop Invitation (August 29, 2022)
- Provider Bulletin - Covered CT Program (August 5, 2022)
- DSS Important Message - Medical Authorization Portal (August 5, 2022)
- Provider Bulletin - Dental Fee Schedule Update for the Adults (August 19, 2022)
- Provider Bulletin - Paxlovid Prescribing by Pharmacists (August 19, 2022)
- Provider Bulletin - Policy Updates – Gender Affirmation Surgery (August 19, 2022)
- Provider Bulletin - Dental Claim Form Field Update Reminder (August 19, 2022)
- DSS Important Message - CMAP Addendum B July 2022 (August 19, 2022)
- DSS Important Message - Hospital Monthly Important Message (August 19, 2022)
- DSS Important Message - New State Resources Available for Providers and Patients Regarding Abortion Rights (August 19, 2022)
- DSS Important Message - Reimbursement for COVID-19 Monoclonal Antibody Therapy (August 19, 2022)
- DSS Important Message - Upcoming Financial Cycle Date Change Notification (June 1, 2022)
- Implementation of Medicaid and CHIP Reimbursement for SUD Tx at Free-Standing Residential Facilities (June 14, 2022)
- Updated Reimbursement Rate for Nsg Svs for HH Pedi High Tech LOC (June 14, 2022)
- Changes to the CT Medicaid Preferred Drug List 07.01.2022 (June 14, 2022)
- Electronic Claims Submission - Web Remittance Advice - Check - EFT and 835 Schedule (June 14, 2022)
- DSS Important Message - Upcoming Financial Cycle Date Change Notification (June 14, 2022)
- DSS Important Message - Change in Value Based Payment Requirement for Participation in Racial Equity Training (June 14, 2022)
- DSS Important Message - Change in Value Based Payment Requirement for Participation in Racial Equity Training 2.00 (June 14, 2022)
- DSS Important Message - Registration for the New Medical Authorization Portal (June 14, 2022)
- Provider Bulletin - Prior Authorization of Chimeric Antigen Receptor – T Cell Therapy (June 21, 2022)
- Important Message - Hospital Monthly Important Message - 06.14.2022 (June 21, 2022)
- Provider Bulletin - Private Non-Medical Institution Rates for Adult Mental Health Rehab Services - 06.24.2022 (June 24, 2022)
- Provider Bulletin - Billing Updates for Dental T1015 Encounter Codes - 06.24.2022 (June 24, 2022)
- Provider Bulletin - Addition of Code 87913 to the Ind Lab Fee Sch and CMAP Addendum B - 06.24.2022 (June 24, 2022)
- DSS Important Message - Nursing Facility Reimbursement Public Notice (June 24, 2022)
- DSS Important Message - Upcoming Financial Cycle Date Change Notification (June 1, 2022)
- Implementation of Medicaid and CHIP Reimbursement for SUD Tx at Free-Standing Residential Facilities (June 14, 2022)
- Updated Reimbursement Rate for Nsg Svs for HH Pedi High Tech LOC (June 14, 2022)
- Changes to the CT Medicaid Preferred Drug List 07.01.2022 (June 14, 2022)
- Electronic Claims Submission - Web Remittance Advice - Check - EFT and 835 Schedule (June 14, 2022)
- DSS Important Message - Upcoming Financial Cycle Date Change Notification (June 14, 2022)
- DSS Important Message - Change in Value Based Payment Requirement for Participation in Racial Equity Training (June 14, 2022)
- DSS Important Message - Change in Value Based Payment Requirement for Participation in Racial Equity Training 2.00 (June 14, 2022)
- DSS Important Message - Registration for the New Medical Authorization Portal (June 14, 2022)
- Provider Bulletin - Prior Authorization of Chimeric Antigen Receptor – T Cell Therapy (June 21, 2022)
- Important Message - Hospital Monthly Important Message - 06.14.2022 (June 21, 2022)
- Provider Bulletin - Private Non-Medical Institution Rates for Adult Mental Health Rehab Services - 06.24.2022 (June 24, 2022)
- Provider Bulletin - Billing Updates for Dental T1015 Encounter Codes - 06.24.2022 (June 24, 2022)
- Provider Bulletin - Addition of Code 87913 to the Ind Lab Fee Sch and CMAP Addendum B - 06.24.2022 (June 24, 2022)
- DSS Important Message - Nursing Facility Reimbursement Public Notice (June 24, 2022)
- DSS Important Message - Billing and Web Claim Submission Workshop Invitation (May 23, 2022)
- Doc Req for Prior Authorization of Medical Equipment - Devices - Supplies (May 23, 2022)
- Increased Reimbursement Rates for Select Home Health Services (May 23, 2022)
- Use of C - Codes for Adv Imaging Proc - Performed Outpatient Hospital (May 23, 2022)
- DSS Important Message - Incontinence Supplies Claims Processing Issue (May 23, 2022)
- DSS Important Message - CMAP Addendum B April 2022 (May 23, 2022)
- DSS Important Message - Hospital Monthly Important Message (May 23, 2022)
- DSS Important Message - Updated Claim Submission Instructions for Dual Eligible Beneficiaries (May 23, 2022)
- Separate Reimbursement for Long-Acting Reversible Contraceptives in the FQHC Setting (May 6, 2022)
- DSS Important Message - Upcoming Provider Training New Medical Authorization Portal (May 6, 2022)
- DSS Important Message - Termination of Order Allowing Dental Hygienists to Administer COVID Vaccinations (May 6, 2022)
- Extension of Postpartum Care (April 29, 2022)
- New Eligibility Group HUSKY B Prenatal Care (April 29, 2022)
- Updated Guidance Regarding Shared Medical Visits (April 29, 2022)
- DSS Important Message - Hospital Monthly Important Message (April 29, 2022)
- DSS Important Message - Update to Prior Authorization Requirements (April 29, 2022)
- Addition of Audiology Services to the Rehabilitation Clinic Fee Schedule (April 18, 2022)
- Addition of Audiology Services to the Independent Audiology - Speech - Language Pathology Fee Schedule (April 18, 2022)
- DSS Important Message - Rate Increase Claim Reprocessing (April 18, 2022)
- DSS Important Message - Nursing Facility Reimbursement Public Notice (April 18, 2022)
- DSS Important Message - COVID-19 Information and FAQs (April 18, 2022)
- Coverage of Outpatient Dialysis Services under Emergency Medicaid for Non-Citizens (April 18, 2022)
- April 2022 HIPAA Update - Physician and Outpatient Fee Schedule and Contraceptive Devices (April 18, 2022)
- Reimbursement for SUD Inpatient at State Operated and Private Psychiatric Hospitals (April 18, 2022)
- Billing Guidance for Adjunctive Continuous Glucose Monitor Systems (April 18, 2022)
- April 2022 HIPAA Update - Changes to DME and MSS Fee Schedules (April 18, 2022)
- Policy Updates and Changes to Clinical Review Criteria (April 18, 2022)
- HUSKY Plus Coverage Merging into HUSKY B (April 18, 2022)
- DSS Important Message - ARPA One-Time Stabilization Payment (April 18, 2022)
- DSS Important Message - Extension of Postpartum Coverage for Eligible HUSKY Health Members (April 18, 2022)
- DSS Important Message - New Eligibility Group: HUSKY B - Prenatal Care (April 18, 2022)
- Administration of the Pfizer-BioNTech COVID-19 Pre-Diluted Vaccine (April 5, 2022)
- March 2022 InterChange Newsletter (March 29, 2022)
- 2022 Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes (March 29, 2022)
- Continuous Glucose Monitors (March 29, 2022)
- Changes to Provider Application Requirements (March 29, 2022)
- April 2022 Quarterly Optician- Eyeglasses Fee Schedule HIPAA Compliant Update (March 29, 2022)
- April 2022 Quarterly Dialysis Clinic HIPAA Compliant Update (March 29, 2022)
- New Medical Authorization Portal (March 29, 2022)
- New Dupixent Prior Authorization Clinical Criteria Requirements (March 29, 2022)
- DSS Important Message - Home and Community Based Waiver Providers Homemaker and Companion Agencies (March 29, 2022)
- March 2022 DUR Board Newsletter (March 29, 2022)
- Reinstatement of Multi-Loading for NEMT Transportation (March 29, 2022)
- DSS Important Message - COVID-19 Information and FAQs (March 29, 2022)
- DSS Important Message - Consumer Assessment of Healthcare Providers and Systems Survey (March 11, 2022)
- DSS Important Message - Hospital Monthly Important Message (March 11, 2022)
- Add-on Rate for Ventilation Bed Stays for Chronic Disease Hospitals (March 11, 2022)
- Coverage of At Home COVID-19 Over-the-Counter Test Kits (March 11, 2022)
- DSS Important Message - Factor Drugs Dispensing Fee Update (March 11, 2022)
- DSS Important Message - COVID-19 Information and FAQs (March 11, 2022)
- DSS Important Message - COVID-19 Information and FAQs (March 2, 2022)
- COVID-19 Vaccine Counseling-Only for Pediatric Members (February 22, 2022)
- DSS Important Message - CMAP Addendum B Claims Reprocessing (February 22, 2022)
- Addition of COVID19 Proprietary Laboratory Analyses Codes to the Independent Laboratory Fee Schedule (February 14, 2022)
- DSS Important Message - Hospital Monthly Important Message (February 14, 2022)
- DSS Important Message - Clarification to PB 2022-03 and PB 2022-04 regarding PA for Home Health Services (February 14, 2022)
- DSS Important Message - CMAP Addendum B January 2022 (February 14, 2022)
- DSS Important Message - Home Health Rate Increase Claim Reprocessing (February 14, 2022)
- Rates for Nursing Services for Home Health Pediatric Complex & High Tech Level of Care - Revised (February 14, 2022)
- Increased Rates for All Home Health Aide Services - Revised (February 14, 2022)
- Increased Reimbursement Rates for Select Home Health Services - Revised (February 14, 2022)
- DSS Important Message - Claim Submission Instructions for Dual Eligible Beneficiaries - 01.28.2022 (February 14, 2022)
- DSS Important Message - Community First Choice Support and Planning Coach Providers Enrollment Workshop (February 14, 2022)
- DSS Important Message - Revised Provider Manual Chapters - Updated 02.01.2022 (February 14, 2022)
- DSS Important Message - NEMT Procedure Code - A0429 Fee Correction (February 4, 2022)
- DSS Important Message - NEMT Procedure Code - A0429 Fee Correction (February 4, 2022)
- DSS Important Message - 1099s Available on Web Site (February 4, 2022)
- Submission of Prior Authorization Requests for Medical Goods and Services (February 4, 2022)
- Community First Choice Enrollment and Reimbursement Changes (January 24, 2022)
- Update to Inpatient Hospital Adj Factors and Update to the APR-DRG Weights (January 24, 2022)
- OOS & Border Hospital Reimbursement - Effective 01.01.2022 (January 24, 2022)
- Changes to Pharmacy Claims for Omnipod and VGO Insulin Delivery Products (January 24, 2022)
- Hospital Monthly Important Message (January 24, 2022)
- Revised Provider Manual Chapters (January 24, 2022)
- Updated DRG Calculator (January 24, 2022)
- COVID-19 Information and FAQs (January 24, 2022)
- Value Based Payments (January 24, 2022)
- Reimbursement Rate Increases for Home Health Services (January 24, 2022)
- Reimbursement Rate Increases for Home Health Services Revised (January 24, 2022)
- Updated DRG Calculator - Updated 01.03.2022 (January 10, 2022)
- January 2022 Quarterly HIPAA Compliant Updates - Physician - Anesthesia - Surgical Fee Schedules (January 10, 2022)
- 2021-110 Updates to the Reimbursement for Physician - Administered Drugs (January 10, 2022)
- Policy Updates and Changes to Clinical Review Criteria (January 10, 2022)
- Update to Procedure Codes S5000 and J7304 on the Family Planning Clinic Fee Schedule (December 28, 2021)
- Updates to the Reimbursement for Physician-Administered Drugs-Immune Globulins-Vaccines and Toxoids (December 28, 2021)
- January 2022 Quarterly Medical Clinic HIPAA Compliant Update (December 28, 2021)
- PB 2021-106 First Quarter 2022 HIPAA Update - Changes to the Medical Surgical Supply Fee Schedule (December 28, 2021)
- January 2022 Quarterly HIPAA Compliant Update - Independent Audiology-Speech-Language Pathology Fee Schedule (December 28, 2021)
- January 2022 HIPAA Compliant Updates to the Freestanding Ambulatory Surgical Center Fee Schedule (December 28, 2021)
- January 2022 Radiology Fee Schedules - Quarterly HIPAA Compliant Update (December 28, 2021)
- January 2022 Quarterly HIPAA Compliant Update – Consolidated Laboratory Fee Schedule (December 28, 2021)
- COVID-19 Information and FAQs - Updated 12.15.2021 (December 22, 2021)
- Hospital Monthly Important Message - 12.13.2021 (December 22, 2021)
- Opportunity to receive One Percent rate increase through VBP (December 22, 2021)
- January 2022 Quarterly Dental Fee Schedule HIPAA Compliant Update (December 22, 2021)
- Revised Provider Manual Chapters - Updated 12.01.2021 (December 14, 2021)
- Outpatient Crossover Claims Issue - 12.06.2021 (December 14, 2021)
- Hospital Reimbursement Public Notice (December 14, 2021)
- CT Home and Community Based Services - American Rescue Plan Act - Provider Value Based Payment Initiative (December 14, 2021)
- COVID-19 Information and FAQs - Updated 11.19.2021 (December 14, 2021)
- Claims Processing Issue - Behavioral Health (December 14, 2021)
- Billing and Web Claim Submission Workshop Invitation (December 14, 2021)
- Audit Documentation Request Requirement Reminder (December 14, 2021)
- Requirements for Coverage of OTC Nutritional Supplements (December 14, 2021)
- Medicare Part D Copays for Dual Eligible HUSKY Low Income Subsidy Clients (December 14, 2021)
- Changes to the Connecticut Medicaid Preferred Drug List (December 14, 2021)
- Outpatient Crossover Claim Pricing Changes (December 14, 2021)
- Outpatient Crossover Electronic 837I Claim Submission and Pricing Changes (December 14, 2021)
- Electronic Claims Submission - Web Remit Advice - Check - EFT - 835 Schedule (December 14, 2021)
- Rate Increase on Select Behavioral Health Services (December 14, 2021)
- Pediatric Inpatient Psychiatric Services (December 14, 2021)
- Billing Lab Fees for Medicaid Members in Residential Substance Use Disorder Treatment Facilities (December 14, 2021)
- Authorization of Pfizer-BioNTech COVID-19 Vaccine for Pediatric Administration - Ages 5 to 11 Years (November 23, 2021)
- Coverage of Services Provided by Licensed Acupuncturists in Independent Practice – Revised (November 23, 2021)
- Ambulatory Payment Classification Weight Corrections (November 15, 2021)
- COVID-19 Information and FAQs - Updated 11.09.2021 (November 15, 2021)
- Hospital Monthly Important Message - 11.08.2021 (November 15, 2021)
- Waiver Service Provider Refresher Workshop (November 15, 2021)
- Home Health Refresher Workshop (November 15, 2021)
- Postponed - Task to Service Enhancement for Sandata Agency Management - Electronic Visit Verification (November 15, 2021)
- PB 2021-89 - Booster Doses COVID-19 Vaccine Administration (November 15, 2021)
- Outpatient Crossover Claim Pricing Changes (November 15, 2021)
- Updated Provider Policy - Wheelchair-Mounted Assistive Robotic Arm Attachment (November 15, 2021)
- Connecticut Housing Engagement and Support Services Providers (November 15, 2021)
- 4th Quarter 2021 HIPAA Update - Changes to DME Fee Schedule (November 15, 2021)
- CMAP Addendum B October 2021 - Updated 10.26.2021 (November 3, 2021)
- CMAP Addendum B October 2021 (November 3, 2021)
- Annual 3M Grouper Updates - Updated 10.26.2021 (November 3, 2021)
- Annual 3M Grouper Updates (November 3, 2021)
- Billing Guidance for Chimeric Antigen Receptor Cell Treatments (November 3, 2021)
- Supplementing Guidance for Treatment Planning and Radiographic Imaging Requirements (November 3, 2021)
- APRN and PA Authorized to Order Home Health Services (October 25, 2021)
- Quarterly HIPAA Compliant Update (October 25, 2021)
- Electronic Visit Verification - Task to Service Enhancement (October 25, 2021)
- Family Planning Clinic Fee Schedule - October 2021 Quarterly HIPAA Compliant Update (October 25, 2021)
- Revision of Rates for Clinical Diagnostic Laboratory Testing Codes (October 25, 2021)
- CDC Health Update - Expansion of Recall of LeadCare Blood Lead Tests Due to Risk of Falsely Low Results (October 18, 2021)
- Automated Voice Response System Downtime Notification (October 18, 2021)
- RESCHEDULED - Discontinuation of Internet Explorer Support (October 18, 2021)
- Health Resources and Services Administration Announces Phase 4 of Provider Relief Funds (October 18, 2021)
- Hospital Monthly Important Message - 10.08.2021 (October 18, 2021)
- Inpatient Delivery Stays and Prior Authorization Reminder (October 18, 2021)
- Revised Provider Manual Chapters - Updated 10.07.2021 (October 11, 2021)
- Policy Updates and Changes to Clinical Review Criteria (October 11, 2021)
- Other Insurance/Medicare Claim Submission Instruction Reminders (October 11, 2021)
- Upcoming Virtual CME Conference (October 4, 2021)
- Hospital Monthly Important Message - 09.13.2021 (October 4, 2021)
- Electronic Visit Verification Additional Languages (October 4, 2021)
- Discontinuation of Internet Explorer Support (October 4, 2021)
- Hospice Rates for Federal Fiscal Year 2022 (October 4, 2021)
- Outpatient Crossover Claim Pricing Changes (October 4, 2021)
- New Medicaid Coverage of Services Provided by Licensed Acupuncturists in Independent Practice (October 4, 2021)
- Medicaid Coverage of Chiropractic Services (October 4, 2021)
- Diagnostic Related Group Review Process (October 4, 2021)
- Treatment Planning and Radiographic Imaging Requirements (October 4, 2021)
- Bulletin - Changes to Medical Surgical Supplies - DME - Orthotic - Prosthetic Devices (October 4, 2021)
- DSS Important Message - Diagnosis Code Requirements for Dental Claims (September 20, 2021)
- DSS Important Message - Hospital Monthly Important Message - 09.03.2021 (September 20, 2021)
- DSS Important Message - COVID-19 Information and FAQs - Updated 09.02.2021 (September 8, 2021)
- DSS Important Message - Professional Provider Refresher Workshop (September 8, 2021)
- Additional Dose COVID-19 Vaccine Administration for Individuals who are Immunocompromised (September 8, 2021)
- The Deadline to Submit PY 2021 Attestations is 08.31.2021 (September 1, 2021)
- Oral Health Assessment & Fluoride Varnish Services at Well-Child - Access to Baby Care Program (September 1, 2021)
- Increased Rate for Nursing Services for Home Health Pediatric Complex - High Tech Level of Care (September 1, 2021)
- Emergency Medicaid Coverage of Dialysis for End Stage Renal Disease (August 24, 2021)
- Hospital Monthly Important Message - 08.11.2021 (August 17, 2021)
- Electronic Visit Verification Additional Languages (August 17, 2021)
- Revised Provider Manual Chapters - Updated 08.02.2021 (August 9, 2021)
- Diabetic Supply Program Compliance (August 9, 2021)
- Using the Web Portal Claim History Inquiry to Prevent DME Claim Denials (August 2, 2021)
- Confirmation of Receipt of Prescriptions Covered under CMAP (August 2, 2021)
- Dental Digital Models (August 2, 2021)
- Changes to the Ambulance Fee Schedule - Emergency and Non-Emergency (August 2, 2021)
- Revising the Reimbursement Methodology for Certified Nurse Midwives and Podiatrists (August 2, 2021)
- CMAP Addendum B July 2021 (July 22, 2021)
- Hospital Monthly Important Message - 07.12.2021 (July 22, 2021)
- Reminder for Medical Necessity for Dental Imaging and Limitations for Occlusal Radiographs (July 22, 2021)
- Policy Updates and Changes to Clinical Review Criteria (July 6, 2021)
- Obstetrics Pay for Performance to Clinical Review Criteria (July 6, 2021)
- Intermediate Care Facility for Individuals with Intellectual Disabilities Reimbursement Public Notice (June 28, 2021)
- Hospital Reimbursement Public Notice (June 28, 2021)
- Nursing Facility Reimbursement Public Notice (June 28, 2021)
- Quarterly Medical Clinic Fee Schedule & Vaccines to the Medical Clinic Fee Schedule (June 28, 2021)
- Mental Health Waiver Service Providers and Mental Health Waiver Fiscal (June 28, 2021)
- Remote Early Intervention Services (June 28, 2021)
- Adding Select Electroencephalogram Procedure Codes to the Independent Radiology Fee Schedule (June 28, 2021)
- COVID-19 Information and FAQs - Updated 06.14.2021 (June 22, 2021)
- Quarterly HIPAA Compliant Update - Physician Office and Outpatient Fee Schedule and Vaccines (June 22, 2021)
- Use of ICD-10-CM Z Codes for Social Determinants of Health (June 22, 2021)
- Provider Enrollment Workshop Invitation - 06.08.2021 (June 15, 2021)
- Hospital Monthly Important Message - 06.07.2021 (June 15, 2021)
- Changes to the CT Medicaid Preferred Drug List - 07.01.2021 (June 15, 2021)
- Important Dates for Program Year 2021 (June 7, 2021)
- Revised Provider Manual Chapters - Updated 06.02.2021 (June 7, 2021)
- Pediatric Inpatient Psychiatric Services (June 7, 2021)
- Revised Diagnostic Related Group Coding Reviews (June 7, 2021)
- 2021.37 Provider Bulletin - Changes to Medical Surgical Supplies, DME & Orthotics - Prosthetics – Revised (June 7, 2021)
- COVID-19 Vaccine Claim ID & Reprocess for HUSKY B Beneficiaries (June 1, 2021)
- Private Non-Medical Institution Rates for Adult Mental Health Rehab Services (June 1, 2021)
- Changes to Medical Surgical Supplies, DME & Orthotics – Prosthetics (June 1, 2021)
- COVID-19 Information and FAQs - Updated 05.18.2021 (May 26, 2021)
- CMAP COVID-19 Telehealth Policies (May 26, 2021)
- Electronic Claims Submission - Web Remittance Advice - Check - EFT and 835 Schedule (May 26, 2021)
- Services Covered under the COVID-19 Testing Group (May 26, 2021)
- Rate Reduction of Diabetic Supplies - Test Strips and Lancets (May 26, 2021)
- Services Covered under the COVID-19 Testing Group (May 26, 2021)
- COVID-19 Information and FAQs - Updated 05.13.2021 (May 17, 2021)
- FINAL OPPORTUNTIY - STATEWIDE HEALTH IT SURVEY EXTENDED THRU MAY 14, 2021 (May 17, 2021)
- Provider Enrollment Workshop Invitation 05.11.2021 (May 17, 2021)
- Hospital Monthly Important Message - 05.11.2021 (May 17, 2021)
- Reinstating Standard Requirements for MEDS – DME (May 17, 2021)
- Reinstatement of Copayments for Medical Services Rendered to HUSKY B Members (May 17, 2021)
- Enrollment & Claim for the CT Housing Engagement and Support Services Program (May 17, 2021)
- Revised Provider Manual Chapters - Updated 05.04.2021 (May 12, 2021)
- 2021.30 Provider Bulletin - Reinstating Req for Min Service Hrs & Time Study Req for Adult Mental Health Private Non-Medical Ins (May 12, 2021)
- Intermediate Care Facilities for Individuals with Intellectual Disabilities Leave Day Changes (REVISED) (May 12, 2021)
- Eligible Dental Providers who can Administer the COVID-19 Vaccinations (May 4, 2021)
- COVID-19 Information and FAQs - Updated 04.29.2021 (May 4, 2021)
- CMAP Addendum B April 2021 (May 4, 2021)
- New Prior Authorization Requirement for Evrysdi (May 4, 2021)
- Reinstating Prior Authorization Req - Revised (May 4, 2021)
- Update to PB 2021-21 Rescission Notification - Updated 4.16.2021 (April 27, 2021)
- ACTION NEEDED - STATEWIDE HEALTH IT SURVEY EXTENDED TO APRIL 27, 2021 (April 27, 2021)
- COVID-19 Information and FAQs - Updated 04.16.2021 (April 27, 2021)
- Reinstating Prior Authorization Requirements (April 27, 2021)
- Reinstating Pharmacy Requirements (April 27, 2021)
- Reinstating Standard Requirements - Medical Equipment - Devices - Supplies (April 27, 2021)
- Statewide Health IT Survey (April 21, 2021)
- Hospital Monthly Important Message - 04.13.2021 (April 21, 2021)
- Changes to Clinical Review Criteria (April 21, 2021)
- Changes to the DME Fee Schedule (April 12, 2021)
- Mental Health Waiver Program - Electronic Visit Verification (April 12, 2021)
- COVID-19 Vaccine Admin - By Pharmacists - Interns & Technicians (April 12, 2021)
- Reinstatement of Prior Authorization Requirements (April 12, 2021)
- COVID-19 Information and FAQs - Updated 03.31.2021 (April 12, 2021)
- Mental Health Waiver Service Provider Workshop Invitation (April 12, 2021)
- Reinstating Medical Equipment - Devices - Requirements Prior Auth (April 12, 2021)
- Revised Monthly Provider Manual Chapters - Updated 04.01.2021 (April 12, 2021)
- April 2021 - Physician Office and Outpatient Fee Schedule (March 29, 2021)
- An Act Concerning Diabetes and High Deductible Health Plans (March 29, 2021)
- Clarifying Guidance for Procedure Code 99417 (March 29, 2021)
- Electronic Visit - End Date for Mobile Visit Verification (March 22, 2021)
- Hospital Monthly Important Message - 03.09.2021 (March 15, 2021)
- Correcting Rates for CMAP Fee Schedules (March 15, 2021)
- Reimbursement Long Acting Contraceptive Devices (March 15, 2021)
- COVID-19 Information and FAQs - Updated 03.03.2021 (March 8, 2021)
- Janssen COVID-19 Vaccine Notification (March 8, 2021)
- COVID-19 Information and FAQs - Updated 02.18.2021 (February 23, 2021)
- Telemedicine Guidance for Respiratory Care (February 23, 2021)
- Hospital Monthly Important Message - 02.08.2021 (February 16, 2021)
- COVID-19 Information and FAQs - Updated 02.05.2021 (February 16, 2021)
- CMAP Addendum B January 2021 (February 9, 2021)
- 2021 Rate Revision for Lab Testing Codes (February 9, 2021)
- Additional Guidance Regarding Shared - Split Medical Visits (February 9, 2021)
- Alternative Preferred Drug Pharmacy Claim Messaging (February 9, 2021)
- COVID-19 Vaccine Administration (February 9, 2021)
- 2020 1099s Available for Download (February 3, 2021)
- Deadlines for Program Year 2020 and 2021 (February 3, 2021)
- HHS Announces Provider Relief Fund Reporting Update (February 3, 2021)
- COVID-19 Information and FAQs - Updated 01.22.2021 (February 3, 2021)
- Provider Bulletin - Updated Billing Guidance for Procedure Codes U0003 and U0004 (February 3, 2021)
- Provider Bulletin - January 2021 - Laboratory Fee Schedule (February 3, 2021)
- Provider Bulletin - January 2021 - Freestanding Ambulatory Surgical Center Fee Schedule (February 3, 2021)
- CMAP Lab Fee Schedule and CMAP Addendum B Update (January 26, 2021)
- COVID-19 Information and FAQs - Updated 01.19.2021 (January 26, 2021)
- COVID-19 Vaccine Administration – Medical Practitioners (January 26, 2021)
- Hospital Monthly Important Message - 01.11.2021 (January 19, 2021)
- Update to MEDS Fee Schedule and Reduced Rates for Orthotic Braces (January 19, 2021)
- 2021-03 Policy Updates and Changes to Clinical Review Criteria (January 19, 2021)
- January 2021 Evaluation and Management Service Updates (January 19, 2021)
- January 2021 Rehabilitation Clinic Fee Schedule (January 19, 2021)
- January 2021 Radiology Fee Schedules (January 19, 2021)
- January 2021 Audiology - Speech - Language Pathology Fee Schedule (January 19, 2021)
- Jan 2021 Physician - OV - Outpatient - Surgical Fee Schedules (January 19, 2021)
- CMAP Addendum B January 2021 Important Message (January 13, 2021)
- Telemedicine - Update to Place of Service Requirements (January 6, 2021)
- COVID-19 Information and FAQs - Updated 12.23.2020 (January 6, 2021)
- Guidance for Cystic Fibrosis & Spinal Muscular Atrophy Testing (January 6, 2021)
- Telemedicine - Update to Place of Service Requirementse (January 6, 2021)
- January 2021 HIPAA Compliant Behavioral Health Fee Schedule (January 6, 2021)
- Changes to the Family Planning Clinic Fee Schedule (January 6, 2021)
- OOS and Border Hospital Reimbursement - Effective 01.01.2021 (January 6, 2021)
- Telemedicine for BH Services in PB 2020-14 and 2020-44 (January 6, 2021)
- COVID-19 Information and FAQs - Updated 12.15.2020 (December 18, 2020)
- Inpatient Hospital Adjustment Factor and APR-DRG Weights (December 18, 2020)
- Updated Telemedicine Guidance for PT and OT Services (December 18, 2020)
- Updates Telemedicine Coverage for Therapy Services Billed by HHA (December 18, 2020)
- Spravato Coverage Guidelines (December 18, 2020)
- Telehealth Coverage for Specified Dental Services (December 18, 2020)
- DSS Important Message - Hospital Monthly Important Message - 12.09.2020 (December 14, 2020)
- COVID-19 Information and FAQs - Updated 12.04.2020 (December 14, 2020)
- Revised Provider Manual Chapters - Updated 12.04.2020 (December 14, 2020)
- Payment Error Rate Measurement Program Audit Requests (December 14, 2020)
- Clarifying Guidance for Speech and Language Pathology (December 14, 2020)
- Emergency SBCH Program Changes (December 14, 2020)
- Billing Guidance for Eyeglasses - Contact Lenses (December 14, 2020)
- Objective 5 Pre-Payment Requirements Schedule (November 23, 2020)
- Electronic Claims Submission - Web Remittance - Check - EFT - 835 Schedule (November 23, 2020)
- Changes to PDL - 5 Emergency Sup - Brand Name Meds - RX Tool (November 23, 2020)
- Removal of Prior Authorization from Electroconvulsive Therapy Services (November 23, 2020)
- Billing of Influenza Vaccines for the 2020-2021 Influenza Season (November 16, 2020)
- Hospital Monthly Important Message - 11.09.2020 (November 16, 2020)
- CMAP Addendum B October 2020 (November 10, 2020)
- Revised Provider Manual Chapters - Updated 11.03.2020 (November 10, 2020)
- Rate Increase (November 10, 2020)
- Add'l of Proc Codes to the Ind Lab Fee Schedule & Addendum B (November 10, 2020)
- CMAP Addendum B October 2020 (November 10, 2020)
- Revised Provider Manual Chapters - Updated 11.03.2020 (November 10, 2020)
- Rate Increase (November 10, 2020)
- Add'l of Proc Codes to the Ind Lab Fee Schedule & Addendum B (November 10, 2020)
- New Billing Instructions for Sevenfact (November 2, 2020)
- COVID-19 Information and FAQs - Updated 10.21.2020 (October 26, 2020)
- Rate Increases Delay Notification (October 26, 2020)
- Delayed Implementation of the Diabetic Supply Program Notification (October 26, 2020)
- Medical Authorization Portal (October 26, 2020)
- Temp Flexibility of Face to Face Requirement for Home Health Evaluations & Assessments (October 26, 2020)
- Waiver Provider Refresher Workshop Invitation (October 19, 2020)
- Support Act 1003 Planning Grant Provider Assessment (October 19, 2020)
- Hospital Monthly Important Message - 10.08.2020 (October 13, 2020)
- DXC Technology Becomes Gainwell Technologies (October 13, 2020)
- Program Year 2020 Announcement (October 13, 2020)
- Revised Monthly Provider Manual Chapters (October 13, 2020)
- Enhancement to Social Security Number Editing (October 13, 2020)
- Policy Updates and Changes to Clinical Review Criteria (October 13, 2020)
- Medicare Part D Co-pays for Dual Eligible HUSKY Clients (October 7, 2020)
- HIPAA Compliant Updates for Fourth Quarter 2020 (October 7, 2020)
- Hospice Rates for Federal Fiscal Year 2021 (October 7, 2020)
- COVID-19 Information and FAQs - Updated 09.21.2020 (September 28, 2020)
- COVID-19 Vaccines Registration (September 28, 2020)
- Guidance on Coverage of Eyeglasses and Contact Lenses (September 28, 2020)
- COVID-19 Information and FAQs - Updated 09.15.2020 (September 21, 2020)
- Hospice Refresher Workshop 09.14.2020 (September 21, 2020)
- Coronavirus Relief Fund Deadline Extension 09.11.2020 (September 21, 2020)
- Provider Re-enrollment Reminder 09.11.2020 (September 21, 2020)
- Upcoming Changes to Pharmacy Claims for Diabetic Supplies (September 21, 2020)
- Upcoming Virtual CME Conference (September 11, 2020)
- Hospital Monthly Important Message - 9.4.2020 (September 11, 2020)
- Revised Provider Manual Chapters - Updated 09.01.2020 (September 8, 2020)
- COVID-19 Information and FAQs - Updated 09.01.2020 (September 8, 2020)
- Coronavirus Relief Fund Payment Update Notification (September 8, 2020)
- Professional Provider Refresher Workshop (September 8, 2020)
- Quantity Prescribed Guidance (September 8, 2020)
- Temporary Rate Increase for Non-Sterile Gloves (September 8, 2020)
- Updates to Physician Administered Drugs and Reimbursement Rates (September 8, 2020)
- Home Health Refresher Workshop (August 31, 2020)
- Web Browser Reminder (August 31, 2020)
- Coronavirus Relief Fund Provider Support Notification (August 31, 2020)
- 2020.63 Provider Bulletin - Clarification (August 31, 2020)
- 2020.63 Provider Bulletin Removal of PA from CPT Codes 81420 & 81507 (August 31, 2020)
- Clarification of Coverage for Blood Pressure Monitors and Breast Pumps (August 31, 2020)
- COVID-19 Information and FAQs - Updated 08.13.2020 (August 17, 2020)
- Coronavirus Relief Fund Provider Support (August 17, 2020)
- Hospital Monthly Important Message - 08.11.2020 (August 17, 2020)
- Private Non-Medical Institution Rates for Adult Mental Health Rehab (August 17, 2020)
- Modification of Minimum Weekly Hour and Time Study Requirements (August 17, 2020)
- Removal of Prior Authorization for Procedure Codes 81528 and 81511 (August 17, 2020)
- Updated Opioid Prior Authorization Requirements Reminder (August 17, 2020)
- Coronavirus Relief Fund Provider Support (August 10, 2020)
- CARES Act Second Extension Notification 08.03.2020 (August 10, 2020)
- Rate Methodology and Cost Survey (August 3, 2020)
- CMAP Addendum B Updated (July 28, 2020)
- Dental Refresher Workshop Invitation (July 28, 2020)
- CARES Act Relief Fund for Providers Deadline Extension Notification (July 28, 2020)
- Introducing the Sandata Mobile Connect App (July 20, 2020)
- Skilled Nurse Prior Authorization Issue in Santrax Update 07.08.2020 (July 13, 2020)
- Revised Provider Manual Chapters 07.01.2020 (July 13, 2020)
- Hospital Monthly Important Message 07.01.2020 (July 13, 2020)
- Diagnosis Code Requirement for COVID-19 Testing Group Claims (July 13, 2020)
- CARES Act Relief Fund for Providers (July 13, 2020)
- Updated Opioid Prior Authorization Requirements (July 13, 2020)
- Policy Updates and Changes to Clinical Review Criteria (July 13, 2020)
- Obstetrics Pay for Performance (July 13, 2020)
- COVID-19 Information and FAQs - Updated 06.22.2020 (June 29, 2020)
- CARES Act Relief Fund for Providers (June 29, 2020)
- CMAP COVID-19 Response - Increase in Inpatient Hospital (June 29, 2020)
- CMAP COVID-19 Response - Addition of Lab Codes U0001 and U0002 (June 29, 2020)
- CMAP COVID-19 Response - Addition of Lab Codes (June 29, 2020)
- DSS Important Message - Changes to EVV Optional Service Code Listing (June 23, 2020)
- Attn: Hospital Providers - Special Cycle Notification 06.15.2020 (June 23, 2020)
- Provider Bulletin - CT Preferred Drug List 07.01.2020 (June 23, 2020)
- Rate Methodology and Cost Survey (June 15, 2020)
- Hospital Monthly Important Message - 06.09.2020 (June 15, 2020)
- COVID-19 Information and FAQs - Updated 06.10.2020 (June 15, 2020)
- Primary Care COVID Training (June 8, 2020)
- COVID-19 Information and FAQs - Updated 06.04.2020 (June 8, 2020)
- Behavioral Health Inpatient Authorizations (June 8, 2020)
- COVID-19 Response – Reauthorizations of HHS (June 8, 2020)
- COVID-19 Response – Wheelchair Assessments via Telemed (June 8, 2020)
- COVID-19 Response – Emergency Guidance on Customized Wheelchair (June 8, 2020)
- COVID-19 Information and FAQs - Updated 05.27.2020 (June 2, 2020)
- Clarification of Provider Bulletin 2020-44 (June 2, 2020)
- Annual Update to the Inpatient Hospital Adjustment Factors (June 2, 2020)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (June 2, 2020)
- Services Covered under the Optional Medicaid Coverage Group “COVID-19 Testing Group” for Uninsured Connecticut Residents (June 2, 2020)
- CMAP COVID-19 Response – Updated Synchronized Telemedicine Services (June 2, 2020)
- COVID-19 Response – Enrollment of CMAP Out-of-State Providers (June 2, 2020)
- COVID-19 Information and FAQs - Updated 05.14.2020 (May 18, 2020)
- Hospital Monthly Important Message - 05.11.2020 (May 18, 2020)
- COVID-19 Response – Services Covered Under Optional Medicaid Coverage Group for Uninsured Connecticut Residents (May 18, 2020)
- COVID-19 Response - Guidance Audio-Only Services and Guidance for Supervision of Resident (May 18, 2020)
- COVID-19 Response - Behavioral Health Telephonic - Audio Only - Billing Guidance (May 18, 2020)
- COVID-19 Response - Added Services to Emergency Telemedicine Home Health (May 18, 2020)
- Hospital Refresher Workshop (May 4, 2020)
- COVID-19 Information and FAQs - Updated 05.01.2020 (May 4, 2020)
- CMAP COVID-19 Response – Emergency Medicaid for Non-Citizens (May 4, 2020)
- CMAP COVID-19 Response – Bulletin 27: New COVID-19 Coverage Group for Uninsured Residents (May 4, 2020)
- Policy Updates and Changes to Clinical Review Criteria (May 4, 2020)
- COVID-19 Information and FAQs - Updated 04.23.2020 (April 28, 2020)
- Billing of Non-Hospital Grade Breast Pumps (April 28, 2020)
- COVID-19-Signature on HH Orders - Updated 04.23.2020 (April 28, 2020)
- CMAP COVID-19 Response – Bulletin 19: Emergency ICF-IID Leave Day Changes (April 28, 2020)
- COVID-19-Physician's Signature on Home Health Orders (April 21, 2020)
- Updated Information Regarding the PASRR Process (April 21, 2020)
- Program Year 2019 Deadline Extension (April 21, 2020)
- CMAP Addendum B April 2020 (April 21, 2020)
- An Important Message Regarding the PASRR Process (April 21, 2020)
- Hospital Monthly Important Message - 04.08.2020 (April 21, 2020)
- COVID-19 Information and FAQs - Updated 04.16.2020 (April 21, 2020)
- Billing of Non-Hospital Grade Breast Pumps (April 21, 2020)
- CMAP COVID-19 Response – Non-Emer Med Trans and Non-Emer Amb Trans (April 21, 2020)
- CMAP COVID-19 Response - Additional Changes to the Synchronized Telemedicine Program (April 21, 2020)
- CMAP COVID-19 Response – Meals on Wheels Changes (April 21, 2020)
- CMAP COVID-19 Response - TU Modifier – Overtime (April 21, 2020)
- CMAP COVID-19 Response - Changes to the Prior Authorization Requirements for Specified Services (April 21, 2020)
- Clarifying Guidance of MEDS Policy Pertaining to Procedure Codes K0553 and K0554 for Therapeutic Continuous Glucose Monitors (April 21, 2020)
- CMAP COVID-19 Response - Emergency DME Changes Pertaining to Customized Wheelchairs (April 21, 2020)
- CMAP COVID-19 Response - Emergency MEDS Program Changes (April 21, 2020)
- COVID-19 Information and FAQs - Updated 04.03.2020 (April 7, 2020)
- Ambulance Providers: Deactivation Letters (April 7, 2020)
- Program Year 2019 Deadline Extension (April 7, 2020)
- Waiver of Certain Requirements and Temporary Procedural Changes for Home and Community-Based Waiver Programs (April 7, 2020)
- Behavioral Health Refresher Workshop (April 7, 2020)
- CMAP COVID-19 Response- Temporary Changes to Signature Requirement for Prescription Medications (April 7, 2020)
- CMAP COVID-19 Response – Temp Changes to Claims for Coagulation Factor RX (April 7, 2020)
- CMAP COVID-19 Response – Emergency Temp Tele-med Coverage for HHC-Hospice (April 7, 2020)
- CMAP COVID-19 Response – Waiver of Req & Temp Procedural Changes (April 7, 2020)
- CMAP COVID-19 Response - Emergency School Based Child Health (April 7, 2020)
- Attention Medicaid Waiver Service Providers - COVID–19 (March 30, 2020)
- Adult Day Health Services During the COVID-19 Pandemic (March 30, 2020)
- CMAP COVID-19 Response - Telemed for Specified BH & Autism (March 30, 2020)
- CMAP COVID-19 Response - Temp Telemed Cov for Rehab Clinics (March 30, 2020)
- CMAP COVID-19 Response - Temp Telemed Cov for PT - OT – ST (March 30, 2020)
- New PA Submission Guidelines (March 30, 2020)
- CMAP COVID-19 Response – ECC Access Requirements (March 30, 2020)
- CMAP COVID-19 Response - Emergency Remote Early Intervention Service (March 30, 2020)
- Remote Early Intervention Treatment Services (March 30, 2020)
- Updated COVID-19 Information and FAQs - 03.19.2020 (March 23, 2020)
- Doc Requirements for Measure 1 of MU Objective 5 - Patient Electronic Access (March 23, 2020)
- COVID 19 Information and FAQs – 03.14.2020 (March 23, 2020)
- COVID-19 Response - Expanded Telemedicine & Telephonic Servicess (March 23, 2020)
- COVID-19 Response – Elimination of Copay for HUSKY B Members (March 23, 2020)
- COVID-19 Response – Emergency Pharmacy Program Changes (March 23, 2020)
- CMAP COVID-19 Response – Laboratory Testing Coverage (March 23, 2020)
- Accessing the Provider’s Re-enrollment Due Date (March 23, 2020)
- Hospital Monthly Important Message - 03.11.2020 (March 16, 2020)
- New Provider Workshop Scheduled for 03.18.2020 has been cancelled (March 16, 2020)
- COVID-19 Response - Temporary Telemedicine Coverage (March 16, 2020)
- New Coverage of Specified Telemedicine Services Under CMAP (March 16, 2020)
- Performing Providers Required for Autism Specialist Groups (March 16, 2020)
- OOS & Border Hospital Reimbursement (March 16, 2020)
- Revised Provider Manual Chapters (March 9, 2020)
- Therapeutic Continuous Glucose Monitors Auditing (March 9, 2020)
- NEMT - Accessing Their Re-enrollment Due Date (March 9, 2020)
- Program Year 2019 Deadline (March 9, 2020)
- Adding Ocrelizumab to the Office and Outpatient Fee Schedule (March 9, 2020)
- Increasing Reimbursement rates for Long Acting Reversible Contraceptive Devices (March 9, 2020)
- 2020 Update to MEDS Fee Schedule - HIPAA Compliant Codes (February 24, 2020)
- Codes K0553 and K0554 for Therapeutic Continuous Glucose Monitors (February 24, 2020)
- Clarification of Billing Req for Meds/Supplies Medicare Part B and D (February 24, 2020)
- Hospital Monthly Important Message - 02.10.2020 (February 17, 2020)
- ABI Waiver Renewal Procedure Code Changes (February 17, 2020)
- Revised Provider Manual Chapters (February 10, 2020)
- 2019 1099s Now Available on Web Site (February 3, 2020)
- 01.24.2020 Claim Cycle 835 Availability (February 3, 2020)
- Reminder of Upcoming Claim Submission Changes (January 20, 2020)
- Hospital Monthly Important Message Updated (January 20, 2020)
- Handicap Accessible Indicator (January 20, 2020)
- MAPIR is Now Open for Program Year 2019 (January 10, 2020)
- Fee Schedule Update Notification - Posted 12.31.2019 (January 6, 2020)
- DRG Calculator January 2020 Update - Posted 12.31.2019 (January 6, 2020)
- CMAP Addendum B January 2020 - Posted 12.31.2019 (January 6, 2020)
- 2020 Fee Schedule HIPAA Compliant Update for Psychologists (January 6, 2020)
- Discontinuation of Modifier GD (January 6, 2020)
- Annual Update to the Inpatient Hospital Adjustment Factors (January 6, 2020)
- 2020 Rates for Physician Office - Outpatient – Surgical (January 6, 2020)
- 2020 Dental Fee Schedule Clarifications and HIPAA Compliance Update (January 2, 2020)
- 2020 Freestanding Ambulatory Surgical Center Fee Schedule (January 2, 2020)
- 2020 Family Planning Clinic Fee Schedule (January 2, 2020)
- 2020 Consolidated Laboratory Fee Schedule (January 2, 2020)
- Independent Therapy and Addition of Select Procedures Codes to the Independent PT and OT Fee Schedules (December 24, 2019)
- 2020 Independent Radiology and Physician Radiology Fee Schedules – HIPAA Compliant Update (December 24, 2019)
- 2020 HIPAA Compliant Update - Rehabilitation Clinic Fee Schedule (December 24, 2019)
- Hospital Monthly Important Message - 12.12.2019 (December 16, 2019)
- Updates to 835 Electronic Remittance Advice (December 16, 2019)
- Revised Provider Manual Chapters - Updated 12.09.2019 (December 16, 2019)
- CT Promoting Interoperability Program will no longer support ECQM for 2019 (December 16, 2019)
- MAPIR Will Soon be Available Program Year 2019 (December 16, 2019)
- Removal of Diagnosis Code Requirements for Opioid Medication Pharmacy Claims (December 16, 2019)
- Reminder about the Opioid Prior Authorization Process (December 16, 2019)
- Electronic Claims Submission (December 16, 2019)
- Changes to the CT Medicaid Preferred Drug List (December 16, 2019)
- Implementation of Diagnosis Requirements for Durable Medical Equipment Claims (December 16, 2019)
- Discontinuation of the Coverage for Electronic Consultations (December 16, 2019)
- Diagnosis Requirements for Durable Medical Equipment Claims (December 4, 2019)
- Hospital Monthly Important Message - 11.12.2019 (November 19, 2019)
- Weather Related Transportation Cancellation / Delays (November 19, 2019)
- Nursing Home and Long Term Care Pharmacy Prior Authorization Request Process Reminder (November 12, 2019)
- Waiver Provider Refresher Workshop Invitation (November 4, 2019)
- Mental Health Waiver Claim Submission Delay (October 31, 2019)
- DRG Calculator Updated - Posted 10.23.2019 (October 31, 2019)
- CMAP Addendum B Important Message October 2019 - Posted 10.22.2019 (October 31, 2019)
- Temporary Suspension of Diagnosis Code Requirement for Opioid Medication Claims (October 31, 2019)
- Clarification of Clinician Requirements for Peer to Peer Discussions (October 31, 2019)
- Pharmacy Web Prior Authorization (October 31, 2019)
- New Coverage Guidelines for Zulresso (October 21, 2019)
- Trauma Questionnaire Letters Updates (October 15, 2019)
- Hospital Monthly Important Message - 10.10.2019 (October 15, 2019)
- Hospital Monthly Important Message - 10.08.2019 (October 15, 2019)
- Billing of Influenza Vaccines for the 2019-2020 Influenza Season (October 15, 2019)
- Hospice Provider Refresher Workshop (October 15, 2019)
- Provider Bulletin PB 2019-60 Re-issued (October 15, 2019)
- New Policy Treatment of Varicose Veins of the Lower Extremity (October 15, 2019)
- Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients (October 7, 2019)
- Self-Measured Blood Pressure Monitoring Devices (October 7, 2019)
- New Prior Authorization Requirements for Short-Acting Opioid Medications (October 7, 2019)
- Dental Fee Schedule; Composite Resin Restoration of Incipient (October 7, 2019)
- MEDS Fee Schedule Changes (October 7, 2019)
- Increase in Actual Acquisition Cost Percentage for Overhead Patient Lifts Codes E0639 and E0640 (October 7, 2019)
- Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices and Select Manually Priced Procedure Codes (October 7, 2019)
- Revised Provider Manual Chapters (October 7, 2019)
- Change to Diagnosis Requirements for Durable Medical Equipment Claims (October 2, 2019)
- Hospice Rates for Federal Fiscal Year 2020 (October 2, 2019)
- Corneal Collagen Cross-linking: Coverage Guidelines and Prior Authorization Form–Corrected Procedure Codes (October 2, 2019)
- Authorization for Palivizumab - 2019-2020 Respiratory Syncytial Virus Season (October 2, 2019)
- Rate Increases (October 2, 2019)
- Personal Care Assistant Waiver Provider Enrollment Opportunity (October 2, 2019)
- Electronic Delivery of Letters Update (October 2, 2019)
- Assessment Units Increase (October 2, 2019)
- Trauma Questionnaire Fax Number (October 2, 2019)
- Update Regarding New Ordering - Referring - Rendering Edits (October 2, 2019)
- Claims Submission of Non-Medical Mental Health Waiver Services (October 2, 2019)
- Home Health Providers Refresher Workshop (October 2, 2019)
- Dental Providers - Discontinue Billing Code D2990 (September 16, 2019)
- Connecticut Medical Assistance Program Workshop (September 16, 2019)
- Newly Created Fee Schedule for Local Health Departments (September 16, 2019)
- Revised Provider Manual Chapters - Updated 09.04.2019 (September 10, 2019)
- Delay in the Implementation of Non-Medical Mental Health Waiver Claim Submission Changes to DXC Technology (September 3, 2019)
- Non-Medical Mental Health Waiver Enrollment Reminder (August 27, 2019)
- Non-Medical Mental Health Waiver Enrollment Reminder (August 27, 2019)
- Hospital Monthly Important Message - 08.13.2019 (August 27, 2019)
- Changes to PNMI Performing Provider Re-enrollment Process (August 27, 2019)
- Revised Provider Manual Chapters (August 12, 2019)
- Updates to Genetic Testing Prior Authorization Form (August 12, 2019)
- Upcoming CME Conference (August 5, 2019)
- Obstetrics Pay for Performance (August 5, 2019)
- Dental Fee Schedule - Composite Resin Restoration of Incipient Carious Lesions (August 5, 2019)
- Outpatient Hospitals CMAP Addendum B Updated 07.24.2019 (July 29, 2019)
- Discontinue Billing Select Pricing Modifiers when Billing for Evaluations Performed (July 29, 2019)
- Upcoming AVRS Menu Option Change (July 22, 2019)
- CMAP Addendum B July 2019 Posted (July 22, 2019)
- Professional Refresher Workshop Invitation (July 22, 2019)
- Hospital Monthly Important Message - 07.12.2019 (July 22, 2019)
- Guidance for Billing Services for HHC Services (July 22, 2019)
- Adult Dental Fee Schedule Composite Restorations on Molar Teeth (July 22, 2019)
- Claim Rejection E-Mailboxes for Providers and Who to Contact (July 15, 2019)
- Mental Health Waiver Billing & Web Claim Workshop Invitation (July 9, 2019)
- Adult Family Living Residency Requirements (July 9, 2019)
- Methadone Maintenance Reimbursement Rates (July 9, 2019)
- Revision of Rates for Certain Clinical Diagnostic Laboratory Testing Codes (July 9, 2019)
- Update for the Adult Dental Fee Schedule Composite Restorations on Molar Teeth (July 9, 2019)
- Understanding the Security Risk Analysis (July 1, 2019)
- Updated Prior Authorization Requirement for Frenulectomies for Children (July 1, 2019)
- Elimination of Paper Trading Partner Agreements Notification (July 1, 2019)
- New Coverage Guidelines - Peristeen Anal Irrigation System (July 1, 2019)
- Monthly Hospital Important Message - 06.19.2019 (June 25, 2019)
- Dental Refresher Workshop (June 25, 2019)
- Important Message Update - 06.17.2019 (June 25, 2019)
- Meals on Wheels Rate Increase (June 25, 2019)
- Update to the Dental Fee Schedule Cone Beam Computed Tomography Imaging (June 25, 2019)
- Update for Billing Coding for the Access for Baby Care to Dental Examination and Fluoride Program (June 25, 2019)
- Attention Long Term Care Providers (June 14, 2019)
- July 2019 Update to MEDS Fee Schedule (June 14, 2019)
- Updated Guidance for Billing Medical Services Performed in Federally Qualified Health Centers (June 10, 2019)
- Private Non-Medical Institution Rates for Adult Mental Health Rehabilitation Services (June 10, 2019)
- Updating the Tuberculosis Limited Benefit (June 10, 2019)
- Claim Denial Issue Update - 05.30.2019 (June 3, 2019)
- Applied Income Issue Update (June 3, 2019)
- Clarifying the Guidance for Electronic Consultations Performed by Federally Qualified Health Centers (June 3, 2019)
- Mental Health Waiver Enrollment Workshop (May 28, 2019)
- Requirements Around Non-Emergency Medical Transportation Transports to the Closest Provider (May 28, 2019)
- Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (May 28, 2019)
- Changes to the CT Medicaid Preferred Drug List (May 28, 2019)
- Applied Income Issue (May 20, 2019)
- Hospital Monthly Important Message - 05.14.2019 (May 20, 2019)
- Updated Billing Guidance Concerning Off-label Use of Avastin - Bevacizumab (May 20, 2019)
- Intermittent Telephony Outage Update (May 20, 2019)
- Implementation of Electronic Delivery of Letters Update - Final Phase (May 20, 2019)
- Corneal Collagen Cross linking - New Coverage Guidelines and Prior Authorization Form (May 20, 2019)
- Increase Per Diem Reimbursement Rates (May 20, 2019)
- Electronic Visit Verification Service Providers – Intermittent Telephony Outage (May 13, 2019)
- Revised Provider Manual Chapters - Updated 05.03.2019 (May 13, 2019)
- New Billing Instructions for Hemlibra- Emicizumab Injection (May 13, 2019)
- Important Enrollment and Claim Submission Changes for Providers of Mental Health Waiver Services under the Mental Health Waiver Program (May 13, 2019)
- Bone-Anchored Hearing Aids Coverage Guidelines (May 13, 2019)
- Annual Dental Benefit Maximum (May 13, 2019)
- Treatment for Gender Dysphoria Gender Reassignment Surgical Procedures (May 13, 2019)
- Supervision of Individuals Not Licensed to Practice Independently When Providing Behavioral Health Services in Clinic Settings (May 13, 2019)
- CMAP Addendum B April 2019 - Updated 04.30.2019 (May 6, 2019)
- Removal of Prior Authorization-Registration for Behavioral Health Professional Services Rendered During a Medical Inpatient Stay (May 6, 2019)
- Introducing the Electronic Visit Verification Web Page (May 6, 2019)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (May 6, 2019)
- Hospital Refresher Workshop on 05.29.2019 (April 29, 2019)
- Performing Providers Required for Select Federally Qualified Health Centers (April 29, 2019)
- Procedure Code Update - D0145 and D1206 (April 23, 2019)
- Ambulatory Surgical Centers (April 23, 2019)
- Mobile Visit Verification Schedule Issue Update 04.16.2019 (April 23, 2019)
- DRG Calculator Updated (April 23, 2019)
- Procedure Code 90791 Update (April 23, 2019)
- Implementation of Electronic Delivery of Letters Update (April 23, 2019)
- Hospital Monthly Important Message - 04.09.2019 (April 15, 2019)
- Billing Guidance Concerning Off-label Use of Avastin - Bevacizumab (April 15, 2019)
- Attention Electronic Visit Verification Service Providers - Mobile Visit Verification Intermittent Schedule Issue (April 8, 2019)
- Revised Provider Manual Chapters - Updated 04.01.2019 (April 8, 2019)
- Changes to Claim Submission of Select Hearing Aid Codes for Clients with Medicare Part B (April 8, 2019)
- Billing of Influenza Vaccines for the 2018-2019 Influenza Seasons (April 8, 2019)
- Referrals – Homemaker/Companion Agencies (April 8, 2019)
- Electronic Visit Verification (EVV) – Compliance Requirement Update (April 8, 2019)
- Enhanced Care Clinic Movement Request (April 8, 2019)
- CAR T- Cell Therapy Coverage Guidelines (April 8, 2019)
- Behavioral Health Clinicians Refresher Workshop Invitation (April 1, 2019)
- Implementation of Electronic Delivery of Letters - Replacement to the Mailing of Connecticut Medical Assistance Program Letters (April 1, 2019)
- Updated Coding Guidelines for the Behavioral/Developmental Component of Multi- Disciplinary Examinations (April 1, 2019)
- Updating the Guidance for Electronic Consultations (March 26, 2019)
- Hospital Monthly Important Message Updated as of 03/12/2019 (March 19, 2019)
- Electronic Visit Verification Providers – Mobile Visit Verification App Mandatory Update - 03.08.2019 (March 19, 2019)
- Changes to Behavioral Health Prior Authorization Requests for Home Health Services to Waiver Clients (March 19, 2019)
- Vehicle Registration Information Requirements (March 11, 2019)
- Reminder Program Year 2018 Deadline (March 11, 2019)
- Providers of Department of Developmental Services Specialized Services to Clients Residing in a Nursing Facility (March 11, 2019)
- Revised Provider Manual Chapters - Updated 3.1.2019 (March 11, 2019)
- The Renewal of the ABI 2 Waiver (March 1, 2019)
- Increasing the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Devices (March 1, 2019)
- eCQM Options and Guidance (March 1, 2019)
- 2019 Fee Schedule HIPAA Compliant Update for Psychological and Neuropsychological Testing (March 1, 2019)
- Special Services - Birth to Three Years - HIPAA Compliant Update (March 1, 2019)
- 2019 Update to MEDS Fee Schedule (March 1, 2019)
- Updated Autism Mandated Service Codes (February 18, 2019)
- Hospital Monthly Important Message - 02.12.2019 (February 18, 2019)
- 2019 Dental Fee Schedule Clarifications and HIPAA Compliance Update (February 18, 2019)
- Vehicle Registration Information Requirements (February 11, 2019)
- 2019 CMAP's Addendum B - Outpatient Hospitals (February 11, 2019)
- Attention: Outpatient Hospitals - CMAP Addendum B Updated (February 4, 2019)
- Billing of Influenza Products (January 29, 2019)
- eCQM Options and Guidance (January 22, 2019)
- Psychological Testing, Neurobehavioral Status Examinations and Neuropsychological Testing Rates (January 22, 2019)
- Non-Emergency Ambulance Providers (January 22, 2019)
- Program Year 2018 Deadline (January 22, 2019)
- Updated Electronic Visit Verification Implementation Important Message Updated 01.08.2019 (January 22, 2019)
- Waiver Providers Fee Schedule Updated (January 22, 2019)
- Hospital Monthly Important Message Updated as of 01/08/2019 (January 22, 2019)
- Elimination of Belbuca and Butrans from Long-Acting Sustained Release Opioid Prior Authorization (January 22, 2019)
- New Non-invasive Prenatal Testing for Fetal Aneuploidy Prior Authorization Request Form (January 22, 2019)
- Autism Disorder Procedure Code 97153 Revised (January 10, 2019)
- Fee Schedule Update Notification (January 10, 2019)
- Myers and Stauffer LLC will now be reviewing Promoting Interoperability Program Incentive Applications (January 10, 2019)
- 2019 HIPAA Compliant Changes on Independent Laboratory Fee Schedule (January 10, 2019)
- 2019 Clinic Fee Schedule HIPAA Compliant Updates (January 10, 2019)
- Autism Waiver Services in the Electronic Visit Verification Program (January 3, 2019)
- Electronic Visit Verification - Mobile Visit Verification Enhancement - Swap Caregiver Functionality (January 3, 2019)
- Performing Providers Required for Select Clinic Providers (January 3, 2019)
- 2019 Fee Schedule HIPAA Compliant Update for Behavioral Health Clinics and Enhanced Care Clinics (January 3, 2019)
- 2019 Fee Schedule HIPAA Compliant Update For Autism Spectrum Disorder Services (January 3, 2019)
- Non-Emergency Ground Ambulance (January 3, 2019)
- Autism Waiver Program and Electronic Visit Verification (January 3, 2019)
- Increasing the Reimbursement Rates for Select Long-Acting Reversible Contraceptive Device (January 3, 2019)
- Changes to the Billing Guidance for Electronic Consultations (January 3, 2019)
- 2019 HIPAA Compliant Updates - Physician Office and Outpatient Radiology and Surgical Fee Schedules and Updates to Rates for Physician Administered Drugs (January 3, 2019)
- Reminder - eCQM Option and Guidance (December 24, 2018)
- CMAP Quarterly Newsletter (December 24, 2018)
- 2019 Independent Radiology Fee Schedule (December 24, 2018)
- Hospital Monthly Important Message - 12.11.2018 (December 17, 2018)
- Outpatient Hospitals- CMAP Addendum B (December 17, 2018)
- New Clinical Guidelines: Coverage of the OVA1® (Multivariate Index Assay) Test (December 17, 2018)
- Waiver Refresher Workshop Invitation (December 10, 2018)
- Electronic Visit Verification - Claim Denials for Explanation of Benefit - Codes 3327 and 3328 (December 10, 2018)
- 2015 Edition CEHRT Required in Program Year 2019 and Forward (December 10, 2018)
- Coverage for Screening, Brief Intervention and Referral to Treatment (December 10, 2018)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (December 10, 2018)
- Medicare Part D Co-Pays for Dual Eligible HUSKY Low Income Subsidy Clients (December 3, 2018)
- Changes to the Connecticut Medicaid PDL (December 3, 2018)
- Psychiatric Diagnostic Evaluations Performed in the Emergency Department (December 3, 2018)
- Rate Increases (December 3, 2018)
- Updated eCQM Option and Guidelines (November 20, 2018)
- Hospital Monthly Important Message (November 20, 2018)
- Updated Electronic Visit Verification Implementation Important Message (November 20, 2018)
- Update to the Billing Guidance to the HCPCS Codes for Skin Substitutes (November 20, 2018)
- Revised Provider Manual Chapters (November 12, 2018)
- Urgent Care Clinics – Licensure and Provider Enrollment (November 12, 2018)
- Promoting Interoperability (PI) Program (November 6, 2018)
- Reporting NDC Reminder (October 26, 2018)
- Updated eCQM Option and Guidance (October 22, 2018)
- Revised Provider Manual Chapters - Updated 10.19.2018 (October 22, 2018)
- Updated Performing Provider Requirements for Select Clinic Providers (October 22, 2018)
- Closing and Moving of Current Enhanced Care Clinic Designated Clinics (October 22, 2018)
- Important Changes to the Connecticut AIDS Drug Assistance Program (October 22, 2018)
- Autism Waiver Refresher Workshop Invitation (October 15, 2018)
- Elimination of Co-payments for Behavioral Health Services Rendered to HUSKY B Members (October 15, 2018)
- Hospital Monthly Important Message (October 15, 2018)
- New Clinical Guidelines - Coverage of Genetic Testing (October 15, 2018)
- Hospice Refresher Workshop Invitation (October 8, 2018)
- UCONN AIMS has changed their URLs (October 1, 2018)
- Physicians - APRN - PA Physician Surgical Fee Schedule - Updated 09.24.2018 (October 1, 2018)
- Electronic Visit Verification Implementation Important Message - Updated 09.21.2018 (October 1, 2018)
- Updated eCQM Option and Guidance (October 1, 2018)
- The Connecticut Medicaid EHR Incentive Program is now accepting Electronic Clinical Quality Measures (eCQM) for Program Year 2018 (October 1, 2018)
- Electronic Health Records (EHR) Incentive Program Has Been Renamed (October 1, 2018)
- Companion Services Rate Increase (October 1, 2018)
- Authorization for Palivizumab (Synagis®) - 2018-2019 Respiratory Syncytial Virus (RSV) Season (October 1, 2018)
- Corrected Bulletin - Rates for Rental Items Used with Continuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices, bi-level pressure (BiPAP) (October 1, 2018)
- EVV Implementation Overview (September 25, 2018)
- Attention: Non-Emergency Medical Transportation (NEMT) Ambulance Providers (September 25, 2018)
- Qualidigm Personal Care Aide Training Series (September 17, 2018)
- Hospital Monthly Important Message Updated as of 09/11/2018 (September 17, 2018)
- Automated Voice Response System Downtime Notification (September 17, 2018)
- Rate Increases is Being Rescinded (September 17, 2018)
- Reminder of Connecticut Medicaid Coverage of Hospice Benefit (September 17, 2018)
- Incorrect Use of HCPCS Code K0108 to Bill for Wheelchair Tray (September 17, 2018)
- The Connecticut Medicaid EHR Incentive Program is now accepting Electronic Clinical Quality Measures for Program Year 2018 (September 11, 2018)
- Revised Manual Chapters - Updated 08.31.2018 (September 11, 2018)
- Timely Filing Requirements for Behavioral Health Services (September 11, 2018)
- Electronic Visit Verification (EVV) Compliance Update – Consecutive Services Enhancement (September 11, 2018)
- Elimination of Co-payments for Behavioral Health Services Rendered to HUSKY B Members under the Connecticut Medical Assistance Program (CMAP) (September 11, 2018)
- Performing Provider Required for Select Clinic Providers (September 4, 2018)
- Data Entry Errors for Enhanced Care Clinics under the Connecticut Behavioral Health Partnership (September 4, 2018)
- Elimination of Co-payments for Behavioral Health Services Rendered to HUSKY B Members (September 4, 2018)
- Electronic Visit Verification Implementation Important Message (August 28, 2018)
- Hospital Monthly Important Message - 08.15.2018 (August 22, 2018)
- Remittance Advice Training Invitation for Waiver Providers (August 22, 2018)
- LTC Refresher Workshop Invitation (August 22, 2018)
- Pharmacy Claim Rejections (August 22, 2018)
- 2015 Edition CEHRT Required in Program Year 2019 and Forward (August 14, 2018)
- 2018 Dental Fee Schedule Update for CDT D1354 (August 14, 2018)
- Clarifying the Discontinuation of a Non-surgical, Permanent Birth Control Device as a Covered Benefit of the HUSKY Health Program (August 14, 2018)
- Withdrawal Management and the Induction of Buprenorphine, Vivitrol or Methadone (August 6, 2018)
- Electronic Visit Verification (EVV) - Consecutive Services Enhancement (August 6, 2018)
- Acquired Brain Injury (ABI), Personal Care Assistance (PCA), Connecticut Home Care Program for Elders (CHC), Home Health Service Providers and Electronic Visit Verification (EVV) Service Providers Electronic Visit Verification (EVV) - Consecutive Services Enhancement (August 6, 2018)
- Withdrawal Management and the Induction of Buprenorphine, Vivitrol or Methadone (August 6, 2018)
- Streamlining Pharmacy Prior Authorization (PA) Requests (August 6, 2018)
- Addition of Prior Authorization Requirements for Two Dental Codes (August 6, 2018)
- EVV Implementation Overview (July 31, 2018)
- Attention: Outpatient Hospitals - CMAP Addendum B Updated (July 31, 2018)
- Change in the Policy for Reimbursement for the Total Number of Restorations on the Same Tooth (July 31, 2018)
- Corrected and Revised - Reductions and Adjustments to Payment for Durable Medical Equipment (DME) to Remain Compliant with Federal Law and Additional Reimbursement Reductions to Medical Equipment, Devices and Supplies (MEDS) (July 31, 2018)
- Guidance for Concurrent and Subsequent Home Health Care Services (July 25, 2018)
- Proof of Delivery Receipts for Covered Medical Equipment, Devices and Supplies (MEDS) under the Connecticut Medical Assistance Program (CMAP) (July 25, 2018)
- Prescriptions/Written Orders for Services Covered under the Connecticut Medical Assistance Program (CMAP), Including Medical Equipment, Devices and Supplies (MEDS) (July 25, 2018)
- Revised Provider Manual Chapters (July 23, 2018)
- Connecticut Medical Assistance Program Workshops For Home Health Providers (July 17, 2018)
- Required PCA Training (July 17, 2018)
- Clarification of PB 18-37 “Required PCA Training” - Frequently Asked Questions (July 17, 2018)
- Change in Pricing Methodology for Patient Lifts on the MEDS Fee Schedule (July 9, 2018)
- Rates for Rental Items Used with Continuous Positive Airway Pressure (CPAP) and Respiratory Assist Devices, Bi-level Pressure (BiPAP) (July 9, 2018)
- EVV Implementation Overview (July 2, 2018)
- Diagnostic Related Group (DRG) Coding Reviews (June 28, 2018)
- Provider Bulletin PB18-34 Reminder (June 28, 2018)
- Discontinue of a Non-surgical, Permanent Birth Control Device as a Covered Benefit of the HUSKY Health Program (June 22, 2018)
- Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (June 22, 2018)
- Enhanced Secure Web Site Features for Password Resets, Locked Accounts, and Disabled Accounts (June 21, 2018)
- Updates to the Reimbursement Rates of Select Manually Priced Procedure Codes (June 21, 2018)
- Attention Primary Care Providers – Upcoming Continuing Medical Education (CME) Conference (June 21, 2018)
- Required PCA Training (June 21, 2018)
- Reporting a Change in Client Condition Functionality Update (June 14, 2018)
- Hospital Monthly Important Message Updated as of 06/13/2018 (June 14, 2018)
- Attention Electronic Visit Verification (EVV) Service Providers – Mobile Visit Verification (MVV) App Update (June 14, 2018)
- July 1, 2018 Changes to the Connecticut Medicaid Preferred Drug List (PDL) (June 11, 2018)
- Documentation Guidelines for Evaluation & Management Services Performed by Students (June 11, 2018)
- Revised Medicaid (HUSKY) Spend-down Procedures (June 11, 2018)
- Attention Early Intervention/Birth to Three Providers Important Reminders – New Claim Submission Edit and New Remittance Advice Format (May 25, 2018)
- Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (May 21, 2018)
- Attention Early Intervention/Birth to Three Providers Important Reminders – New Claim Submission Edit and New Remittance Advice Format (May 21, 2018)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs (May 21, 2018)
- Obstetrics Pay for Performance Program (May 17, 2018)
- New Proc/Mod List Codes for Nursing Management and Evaluation of the Plan of Care under the Autism, Acquired Brain Injury (ABI), Connecticut Home Care (CHC) and Personal Care Assistance (PCA) Waiver Programs (May 17, 2018)
- Personal Care Assistance (PCA) Service Authorization Changes and Reminders (May 17, 2018)
- Hospital Monthly Important Message Updated as of 05/10/2018 (May 17, 2018)
- interChange Provider Important Message (May 7, 2018)
- New Genetic Testing Prior Authorization Forms (May 7, 2018)
- Compression Garments (A6549/A4465) Coverage Guidelines (May 7, 2018)
- Access Requirements for Freestanding Behavioral Health Enhanced Care Clinics under the Connecticut Behavioral Health Partnership (April 26, 2018)
- A Connecticut Medical Assistance Program Workshop For Connecticut Behavioral Health Providers (April 26, 2018)
- Updated Cystic Fibrosis (CF) Prior Authorization Request Form for Orkambi, Kalydeco and Symdeko (April 26, 2018)
- EVV Implementation Overview (April 23, 2018)
- Attention: Outpatient Hospitals - CMAP Addendum B Updated (April 18, 2018) (April 23, 2018)
- Electronic Visit Verification (EVV) Enhancement Training – Using the Temporary Client and Attributes Enhancements (April 23, 2018)
- Web Portal Enhancement – Alternate Service Location Addresses (April 16, 2018)
- Hospital Monthly Important Message Updated as of 04/11/2018 (April 16, 2018)
- Change in “Katie Beckett” – Model Waiver Claims Processing (April 16, 2018)
- Additional Guidance on the Use of the Home Health SOC/ROC and Recertification Service Codes for CHC, ABI, PCA and Autism Waiver Clients (April 16, 2018)
- Web Portal Enhancement – Alternate Service Location Addresses (April 9, 2018)
- Corrected and Revised - Reductions and Adjustments to Payment for Durable Medical Equipment (DME) to Remain Compliant with Federal Law and Additional Reimbursement Reductions to Medical Equipment, Devices and Supplies (MEDS) (March 26, 2018)
- The Medicaid Electronic Health Records (EHR) Incentive Program (March 26, 2018)
- Revisions to Previously Announced Reimbursement Changes to Durable Medical Equipment (DME) and Other MEDS Items (March 26, 2018)
- Hospital Billing Providers Program Workshop (March 26, 2018)
- Claim Processing Delay (March 26, 2018)
- Medical Equipment, Devices and Supplies (MEDS) Provider Reimbursement (March 26, 2018)
- Electronic Visit Verification (EVV) Enhancement – Alternate Claim Solution (March 26, 2018)
- Revised Provider Manual Chapters (March 14, 2018)
- Medical Equipment Devices and Supplies (MEDS) Provider Meeting (March 14, 2018)
- Prior Authorization Requirements for Advanced Imaging Services Reminder in an Outpatient Hospital Setting (March 14, 2018)
- Tisagenlecleucel (KymriahTM) and Voretigene Neparvovec-rzyl (LuxturnaTM) Coverage Guidelines (March 14, 2018)
- Resident Enrollment- Step by Step Instruction Guide (March 14, 2018)
- Hospital Monthly Important Message Updated as of 02/14/2018 (March 5, 2018)
- Attention: Outpatient Hospitals - CMAP Addendum B Update Delayed (Updated February 14, 2018) (March 5, 2018)
- Autism Waiver Semi-Annual and Annual Provider Reports (March 5, 2018)
- Billing Clients for Missed appointments - Reissue of PB15-05 (March 5, 2018)
- Timely Completion of Medical Records in the Office and Outpatient Settings (March 5, 2018)
- Additional Guidance on the Use of the Home Health SOC/ROC and Recertification Service Codes for CHC, ABI, PCA and Autism Waiver Clients (February 26, 2018)
- AS Modifier (February 26, 2018)
- Updated MEDS Fee Schedule Changes (February 26, 2018)
- Attention: Outpatient Hospitals - CMAP Addendum B Updated (February 6, 2018) (February 7, 2018)
- Revised Provider Manual Chapters (February 1, 2018)
- Attention Methadone Providers (February 1, 2018)
- 2018 CMAP’s Addendum B – Outpatient Hospitals (February 1, 2018)
- EVV Implementation Overview (January 25, 2018)
- Attention: Methadone Providers (January 19, 2018)
- Annual Dental Benefit Maximum (Updated 1/12/18) (January 13, 2018)
- The Medicaid Electronic Health Records (EHR) Incentive Program (January 13, 2018)
- National Correct Coding Initiative (NCCI) – Medically Unlikely Edits (MUE) Review Process (January 12, 2018)
- Non-Emergency Medical Transportation (NEMT) For Pending Members (January 11, 2018)
- Hospital Monthly Important Message Updated as of 01/10/2018 (January 10, 2018)
- Annual Dental Benefit Maximum (January 5, 2018)
- Fee Schedule Update Notification (January 3, 2018)
- Weather Related Transportation Cancellation / Delays (January 3, 2018)
- 2018 HIPAA Compliant Changes on Independent Laboratory Fee Schedule (December 30, 2017)
- 2018 HIPAA Compliant Updates to the Family Planning Clinic Fee Schedule (December 30, 2017)
- 2018 HIPAA Compliant Updates to the Dialysis Clinic Fee Schedule (December 30, 2017)
- 2018 HIPAA-Compliant Update to the Medical Clinical Fee Schedule (December 30, 2017)
- Deletion of Select CPT Codes Listed on the Physician Office and Outpatient Fee Schedule (December 30, 2017)
- 2018 HIPAA Compliant Updates-Physician-Anesthesia, Office and Outpatient and Surgical Fee Schedules (December 30, 2017)
- 2018 Dental Fee Schedule HIPAA Compliance Update (December 30, 2017)
- 2018 Independent Radiology and Physician-Radiology Fee Schedules - HIPAA Compliant Update (December 29, 2017)
- Prior Authorization for all Non-Emergency Medical Transportation (NEMT) (December 29, 2017)
- New Clinical Guidelines – Prior Authorization (PA) Cranial Remodeling Devices (December 28, 2017)
- Announcement of Non-Emergency Medical Transportation (NEMT) Contractor (December 27, 2017)
- Birth to Three Fee Schedule Revision Announcement (December 26, 2017)
- Independent Audiology and Speech & Language Pathology Fee Schedule Update (December 22, 2017)
- EHR Incentive Program: UConn Review Team Website Change (December 22, 2017)
- Coding Changes for Eteplirsen and Nusinersen (December 22, 2017)
- Annual Dental Benefit Maximum (December 21, 2017)
- Methadone Maintenance Reimbursement Guidelines (December 21, 2017)
- 2018 HIPAA Compliant Update-Rehabilitation Clinic Fee Schedule (December 21, 2017)
- Non-Emergency Medical Transportation (NEMT) (December 21, 2017)
- Important Changes to Billing Instructions for Home Health Nursing Evaluation and Therapy Services for CHC, ABI and PCA Waiver Members (December 19, 2017)
- 2018 HIPAA Compliancy - Independent Physical Therapy and Occupational Therapy Fee Schedule (December 19, 2017)
- Autism Waiver Service Provider Enrollment Reminder (December 19, 2017)
- Autism Waiver Program Updates (December 19, 2017)
- 2018 HIPAA-Compliant Updates to the Freestanding Ambulatory Surgical Center Fee Schedule (December 19, 2017)
- Important Changes to Billing Instructions for Home Health Nursing Evaluation and Therapy Services for CHC, ABI and PCA Waiver Members (December 19, 2017)
- Revision to the HUSKY Health Primary Care Increased Payments Policy (December 18, 2017)
- Update on the Status of Meaningful Use Public Health Measure Registry Options 2017 (December 18, 2017)
- Revision to the HUSKY Health Primary Care Increased Payments Policy (December 8, 2017)
- January 1, 2018 Changes to the Connecticut Medicaid Preferred Drug List (PDL) (December 8, 2017)
- Updated Guidance Regarding Multi-disciplinary Examinations (December 8, 2017)
- Revised Provider Manual Chapters (December 8, 2017)
- HUSKY Health Primary Care Increased Payments Policy (December 4, 2017)
- Electronic Visit Verification (EVV) – New Schedule Edit Reason Code (December 4, 2017)
- Provider Quarterly Newsletter- September 2017 (November 21, 2017)
- Provider Quarterly Newsletter- June 2017 (November 21, 2017)
- Attention All Providers: New Medicare Card Project Open Door Forum (November 14, 2017)
- Birth to Three Providers – Binding Operational Policy Effective November 1, 2017 (November 14, 2017)
- Connecticut Medical Assistance Program Workshops for Organizations and Individual Practitioners enrolled as Autism Waiver Service Providers (November 14, 2017)
- Attention: Electronic Visit Verification (EVV) Service Providers – Reason Code Survey (November 14, 2017)
- Attention: Ordering Physicians, Home Health Service Providers, Durable Medical Equipment (DME) Suppliers and Pharmacies (November 14, 2017)
- Hospital Monthly Important Message Updated as of 11/08/2017 (November 14, 2017)
- Electronic Health Records Incentive Program:Secure Messaging for Meaningful Use (November 14, 2017)
- Medicaid EHR Incentive Program: Connecticut’s Medical Assistance Provider Incentive Repository (MAPIR) System Upgrade (November 14, 2017)
- New Medicare Card Project Open Door Forum Thursday, November 9 from 2 to 3 pm EST (November 3, 2017)
- Birth to Three Providers – Binding Operational Policy Effective November 1, 2017 (November 3, 2017)
- Autism Waiver Service Workshop Invitation (November 3, 2017)
- Attention All Providers: New Medicare Card Project Open Door Forum (November 3, 2017)
- National Correct Coding Initiative (NCCI) – Medically Unlikely Edits Review Process (November 3, 2017)
- EVV Tip #4: Compliance (October 25, 2017)
- Attention: Inpatient Hospitals Inpatient Behavioral Health Claims (Updated 10/17/17) (October 24, 2017)
- Claims Submitted with Facility Type Code/Place of Service 19 under the HUSKY Health Primary Care Increased Payments Policy (October 24, 2017)
- Attention: Inpatient Hospitals Inpatient Behavioral Health Claims (Updated 10/16/17) (October 24, 2017)
- Autism Waiver Service Provider Enrollment Workshop Reminder (October 24, 2017)
- Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients (October 24, 2017)
- Revised Provider Manual Chapters (October 24, 2017)
- Announcement: MAPIR is opening for 2017 Program Year Attestations on November 18th, 2017 (October 24, 2017)
- Attention: Outpatient Hospitals - CMAP Addendum B Updated (October 6, 2017) (October 16, 2017)
- Hospital Monthly Important Message Updated as of 10/11/2017 (October 16, 2017)
- Electronic Visit Verification – Mobile Visit Verification (MVV) Application Issue Resolved (October 16, 2017)
- Electronic Visit Verification (EVV) Compliance (October 9, 2017)
- New Clinical Guidelines – Prior Authorization (PA) Electric Tumor Treatment Field Therapy (October 9, 2017)
- Electronic Visit Verification – Mobile Visit Verification (MVV) Application Issue (October 3, 2017)
- Home Health Providers - Instructions for Claim Denials with procedure code T1001 and Explanation of Benefit (EOB) Code 6527 (October 3, 2017)
- Connecticut Medical Assistance Program Workshops For Autism Waiver Service Providers (October 3, 2017)
- Authorization for Palivizumab (Synagis®) - 2017-2018 Respiratory Syncytial Virus (RSV) Season (September 29, 2017)
- Electronic Visit Verification Implementation Overview (September 29, 2017)
- Birth to Three Implementation Delay Announcement (September 29, 2017)
- New Face-to-Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipment (DME) (September 29, 2017)
- Hospice Rates for Federal Fiscal Year 2018 (September 29, 2017)
- Important Autism Waiver Provider Enrollment and Claim Submission Changes for Providers of Autism Waiver Services under the Autism Waiver Program (September 29, 2017)
- Clarifying Billing Instructions for Therapy Evaluations and Services Performed as Part of the Home Health Care Plans (Revised) (September 25, 2017)
- Use of Pro-Rated Service Codes (September 25, 2017)
- New Face-to-Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipment (DME) (September 25, 2017)
- EVV Implementation Overview (September 25, 2017)
- EHR Incentive Program: Connecticut's Medical Assistance Provider Incentive Repository (MAPIR) System Upgrade on September 22, 2017 and the Associated DownTIme Notification (September 21, 2017)
- Electronic Visit Verification (EVV)- Understanding Eligibility, Client Benefit Plans and Prior Authorization (September 21, 2017)
- Connecticut Medical Assistance Program (September 21, 2017)
- Program Year 2017 Requirements (September 21, 2017)
- Connecticut Medical Assistance Program Provider Satisfaction Survey (September 12, 2017)
- Connecticut Medical Assistance Program Workshops For Hospice Providers (September 12, 2017)
- Electronic Visit Verification (EVV) - Implementation Overview (August 25, 2017)
- Electronic Visit Verification (EVV) - “At Your Fingertips” Tip Sheet (August 25, 2017)
- Clarifying Billing Instructions for Therapy Evaluations and Services Performed as Part of the Home Health Care Plans (August 17, 2017)
- Hospital Readmissions on the Same Date of Service (August 17, 2017)
- Important Changes to Evaluation and Assessment Services for Home Health Care Services - Addition of Review of Care Plan Code-G0162 (Revised) (August 17, 2017)
- Clarifying Billing Instructions for Therapy Evaluations and Services Performed as Part of the Home Health Care Plans (August 17, 2017)
- Partial Hospitalization Program (August 17, 2017)
- Electronic Visit Verification (EVV) - Creating Claims in the Santrax System (August 17, 2017)
- Face-to-Face Requirements for Initial Orders of Home Health Services and Certain Durable Medical Equipment (DME) (August 4, 2017)
- Electronic Visit Verification (EVV) Service Providers: Back-to-Back Services Survey (August 4, 2017)
- Connecticut Medical Assistance Program Workshops For Birth to Three Billing Providers (August 4, 2017)
- Revised Provider Manual Chapters (August 4, 2017)
- 2017 Meaningful Use Overview (August 1, 2017)
- Validating the National Drug Code (NDC) Submitted in Conjunction with Procedure Codes for Physician Administered Medications (July 25, 2017)
- Hospital Monthly Important Message (July 25, 2017)
- CMAP Addendum B July Updates (July 25, 2017)
- New Clinical Guidelines – Prior Authorization (PA) of Compressive Orthoses for Correction of Pectus Carinatum and Excavatum, Genetic Cancer Susceptibility Panels Using Next Generation Sequencing, Orthognathic Surgery, Intrapulmonary Percussive Ventilation Systems for Home Use (July 18, 2017)
- Electronic Visit Verification Fixed Visit Verification Device Workshop Invitation (July 18, 2017)
- Electronic Visit Verification Implementation Overview (July 18, 2017)
- The Medicaid Electronic Health Records (EHR) Incentive Program: Information Sessions Notice (July 18, 2017)
- Coding Change for Hydroxypogesterone Caproate (July 18, 2017)
- Updates to the Physician and Outpatient, Physician Radiology and Physician Surgical Fee Schedules (July 18, 2017)
- Reimbursement Update to the HUSKY Health Primary Care Increased Payments Policy (July 18, 2017)
- Coverage for Electronic Consultations (E-Consults) Performed by HUSKY Health Providers (July 18, 2017)
- JW Modifier (July 18, 2017)
- Electronic Claim Submission with Paper Attachment Process (July 18, 2017)
- New Explanation of Benefit (EOB) Codes for Manually Priced Claims (June 30, 2017)
- Coding and Reimbursement Updates for Outpatient Hospitals (June 30, 2017)
- Home Health Agency Providers – Home Health Add-Ons Notification (June 30, 2017)
- New Explanation of Benefit (EOB) Codes for Manually Priced Claims (June 30, 2017)
- Eteplirsen Coverage Guidelines (June 30, 2017)
- Nusinersen Coverage Guidelines (June 30, 2017)
- Tasks Required for Non - skilled Service Providers in the EVV Santrax System (June 30, 2017)
- HUSKY Plus Coverage Updates (June 30, 2017)
- Corrected and Updated Policy Regarding Wheeled Mobility Device Policy, Forms and Related Documents (June 30, 2017)
- Hospital Monthly Important Message - Updated Documents (June 21, 2017)
- Corrected and Updated Policy Regarding Wheeled Mobility Device Policy, Forms and Related Documents (June 21, 2017)
- July 1, 2017 Changes to the Connecticut Medicaid Preferred Drug List (PDL), Reminder About the 5 day Emergency Supply, Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 14, 2017)
- Change in Day Supply of Pharmacy Auto Prior Authorization of Long Acting Sustained Release Opioid Medications (June 14, 2017)
- Correction to the June 2017 interChange Newsletter (June 13, 2017)
- New Face-to-Face Requirements for Certain Durable Medical Equipment (DME) (June 13, 2017)
- Electronic Consultations Performed in Federally Qualified Health Centers (June 13, 2017)
- New Face-to-Face Requirements for Initial Orders of Home Health Services and Long-Term Home Health Services (June 13, 2017)
- Updated Guidelines for Smoking Cessation Agents, Counseling and Treatment Products (June 13, 2017)
- Reminder About Use of "C" Codes for Certain Advanced Imaging Services (June 13, 2017)
- Provider Audit Trainings (June 13, 2017)
- Tasks Required for Non-skilled Service Providers in the EVV Santrax System (June 13, 2017)
- Electronic Visit Verification ABN Training Invitation (June 13, 2017)
- Update to ABN Instructions for the EVV Santrax System (June 13, 2017)
- 2017 Information Sessions (June 13, 2017)
- How to Resolve Unexpected Clients in Your Santrax System (June 2, 2017)
- Attention Providers: Automated Voice Response System Downtime Notification (June 2, 2017)
- Update to ABN Instructions for the EVV Santrax System (June 2, 2017)
- Attention Pharmacy Providers: Third Party Liability Claim Edits to be Re-activated (June 2, 2017)
- Follow up to Provider Bulletin 2016-77 – Updated Guidance Regarding Electronic Orders for MEDS Products (June 2, 2017)
- Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (June 2, 2017)
- Update to the Consent to Sterilization Form Submission (Federal Form OMB No. 0937-0166), Hysterectomy Information Form (W-613) and Physician Hysterectomy Certification Form Retroactive Eligibility (W-613A)Submission Process (May 23, 2017)
- Radiotherapy Treatment and Follow-Up Care (May 23, 2017)
- interChange Provider Important Message Attention: Outpatient Hospitals - Prior Authorization Requirement for Supprelin (J9226) and PuraPlay (Q4172) (May 23, 2017)
- Addition of Criteria for Facial Feminization Procedures to the Gender Reassignment Surgery Policy (May 12, 2017)
- HPE interchange important notice on CMAP - Updates on procedures codes to be reprocessed (May 12, 2017)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (May 12, 2017)
- Prior Authorization Requirements for Certain Custom Wheelchair Components (May 12, 2017)
- New Proc/Mod List Code for Oral Medication Administration Direct Observation Services under the Acquired Brain Injury (ABI), Connecticut Home Care (CHC)and Personal Care Assistance (PCA) Waiver Programs (May 8, 2017)
- New Personal Care Assistance Procedure Codes added to the ABI Waiver Program and Procedure/Modifier Code Lists added to the ABI and CHC Waiver Programs (May 8, 2017)
- Digital Breast Tomosynthesis – Outpatient Hospital Billing (May 8, 2017)
- Electronic Visit Verification Implementation Important Message (May 8, 2017)
- Attention: BHH /TCM / Waiver Billing and BHH /TCM/ Waiver and Mental Health Waiver Performing Providers E-Mail Subscription Update (May 1, 2017)
- Program Year 2017 Announcement (May 1, 2017)
- CMAP Addendum B Updated (May 1, 2017)
- New Clinical Guidelines-Prior Authorization of Bathing and Toileting Equipment (April 21, 2017)
- Digital Breast Tomosynthesis - Outpatient Hospital Billing (April 21, 2017)
- Patient Volume Dates Issue (April 17, 2017)
- Attention Providers: ACA Enhanced Provider Enrollment Requirements - Fingerprint Based Criminal Background Checks (FCBC) (April 7, 2017)
- Change to Radiology Authorization Date Span (April 7, 2017)
- Wheeled Mobility Device Policy, Forms and Related Documents (April 7, 2017)
- Hewlett Packard Enterprise Becomes DXC Technology (April 7, 2017)
- Updated Home Health Agency Electronic Visit Verification (EVV) Important Updates (April 3, 2017)
- Important Birth to Three Provider Enrollment and Claim Submission Changes for Providers of Birth to Three Services under the Connecticut Medical Assistance Program (April 3, 2017)
- Claim Adjudication and Electronic Visit Verification (April 3, 2017)
- Home Health Agency Electronic Visit Verification (EVV) Important Updates (March 23, 2017)
- Update to the Billing Requirements for Evaluations and Re-Certifications Performed by Home Health Agencies and Access Agencies (March 23, 2017)
- Electronic Visit Verification (EVV) System Important Updates (March 23, 2017)
- Attestation Deadline for the 2016 Program Year is March 30, 2017 (March 23, 2017)
- Hospital Refresher Workshop Invitation 2017 (March 23, 2017)
- March 2017 interChange Newsletter (March 23, 2017)
- 24 Hour Live in Guidance Related to 8:00 am Check-in/Check-out Policy (March 21, 2017)
- Revised Provider Manual Chapters (March 20, 2017)
- CMAP Service Interruption Notification (March 20, 2017)
- Dental Fee Schedule HIPAA Compliance Update (March 13, 2017)
- Implementation of New Pharmacy Pricing Methodology Using National Drug Acquisition Cost (NADAC) Files and New Dispensing Fee (March 13, 2017)
- Hospital Monthly Important Message (March 9, 2017)
- Important Changes to Evaluation and Assessment Services for Home Health Care Services - Addition of Review of Care Plan Code-G0162 (March 8, 2017)
- Electronic Visit Verification Implementation (March 8, 2017)
- Specialized Registry (March 8, 2017)
- Alternate Attestation Extension (March 7, 2017)
- CT Medicaid Provider File Request (March 7, 2017)
- CMAP Addendum B Important Message (March 7, 2017)
- Post - Payment Audit Tip Sheets (March 1, 2017)
- Authorization for Palivizumab (Synagis) (March 1, 2017)
- Changes to the Prior Authorization Process for Genetic Testing Services (March 1, 2017)
- Change to Unit of Measure for 1546P - Independent Living Skills Training (February 24, 2017)
- Changes to the Prior Authorization Process for Cranial Remolding Orthoses (February 24, 2017)
- Updated MEDS Fee Schedule Changes (February 24, 2017)
- CMAP Addendum B Important Message (February 17, 2017)
- Electronic Visit Verification Implementation (February 17, 2017)
- Meaningful Use Reporting Period for 2016 and 2017 (February 17, 2017)
- Hospital Monthly Important Message (February 17, 2017)
- Revised Provider Manual Chapters (February 8, 2017)
- Updated EVV Implementation Date for Home Health Services (February 8, 2017)
- Electronic Visit Verification Implementation (January 27, 2017)
- CT Medicaid Provider File Request (January 23, 2017)
- Electronic Visit Verification Implementation (January 23, 2017)
- Hospital Monthly Important Message (January 13, 2017)
- Independent Physical and Occupational Therapy Fee Schedule HIPAA Compliant Update (January 13, 2017)
- Revised Provider Manual Chapters (January 10, 2017)
- (1) 2017 HIPAA Compliant Update (2) Changes to the Reimbursement of Select Services (3) Addition and Removal of Services (January 3, 2017)
- Frequently Asked Questions (FAQs) (January 3, 2017)
- 2017 Independent Radiology Fee Schedule HIPAA Compliant Update (January 3, 2017)
- 2017 Fee Schedules HIPAA Compliant Update (January 3, 2017)
- Annual Update - Outpatient Hospitals (1) 2017 Annual Update - CMAP's Addendum B (2) JW Modifier (3) Coding Changes (January 3, 2017)
- Ambulatory Surgical Centers, Dialysis Clinics, Freestanding Behavioral Health Clinics Fee Schedules HIPAA Compliance Update (December 30, 2016)
- Resident Re-enrollment Letters (December 30, 2016)
- Rates for 2017 Medicaid Ambulatory Surgical Center Fee Schedule (December 30, 2016)
- 2017 Consolidated Laboratory Fee Schedule Update (December 30, 2016)
- Coverage for Kyleena – Intrauterine Device (IUD) (December 30, 2016)
- Elimination of Paper Claims Update (December 30, 2016)
- Interpreter Services for Individuals with Limited English Proficiency and Hearing Impairments (December 30, 2016)
- Electronic Visit Verification Refresher Training Invitation (December 30, 2016)
- Provider Bulletin PB16-86 Rescinded (December 30, 2016)
- Electronic Health Records Incentive Program: Register for the Public Health Immunization Registry on or Before December 31, 2016 (December 28, 2016)
- Reporting Requirements for E-Consultations Performed at Federally Qualified Health Centers (December 19, 2016)
- Revised Provider Manual Chapters (December 6, 2016)
- LogistiCare's Quality of Care/Quality of Transportation Service Referral Form (December 6, 2016)
- Inpatient Hospital Important Message (December 6, 2016)
- Changes to the Implementation of Prior Authorization for Oral and Maxillofacial Surgery Codes (November 29, 2016)
- Clarification of Orthognathic Surgery Medical Necessity Definitions - Surgery Codes (November 29, 2016)
- Revised: Documentation and Billing Guidelines for Services Performed by Residents (November 28, 2016)
- Provider Enrollment Agreement for Project Notify and Health IT Initiatives (November 28, 2016)
- Important EVV Implementation Date Update (November 18, 2016)
- Important Information Regarding Provider Enrollment for Crossover Claims (November 18, 2016)
- Release of Claims Held in Suspense Due to no Care Plan or Service Authorization (November 18, 2016)
- Hospice Rates for Federal Year 2017 (November 18, 2016)
- Changes in Meal Delivery Reimbursement (November 18, 2016)
- Updated Guidance Regarding Electronic Orders for MEDS Products (November 18, 2016)
- Screening Brief Intervention, and Referral to Treatment (SBIRT) Performed at Federally Qualified Health Centers (FQHC's) (November 18, 2016)
- CHNCT eviCore Webinars (November 18, 2016)
- EVV Guidance When Multiple Clients Reside in the Same Household (November 18, 2016)
- New Prior Authorization Request Form for Long Acting Sustained Release Opioid Medications (November 11, 2016)
- Hospital Monthly Important Message (November 11, 2016)
- Revised Provider Manual Chapters (November 9, 2016)
- Eligible Professionals and Eligible Hospitals Only Need a 90-day Reporting Period for Meaningful Use in 2016 and 2017 (November 9, 2016)
- Electronic Visit Verification (EVV) Input and Feedback Request (November 9, 2016)
- HPE PB16-72 Web Portal Claim History Inquiry (November 9, 2016)
- Program Year 2016 is the last year for providers to attest for the first time (November 9, 2016)
- Flu Vaccine Availability and the Connecticut Vaccine Program (November 8, 2016)
- Billing Guidelines for Inpatient Stays Following Observation/Outpatient Services (October 31, 2016)
- Inpatient Hospital Important Message (October 31, 2016)
- Procedure for Removal of Hospital Lock-In Status and Use of Medicaid Prescription Vouchers for Individuals Released from Correctional Institutions or Through the Courts (October 31, 2016)
- Split/Shared Medical Visits (October 31, 2016)
- Home Health Refresher Workshop Invitation (October 24, 2016)
- Update on Flu Vaccine Availability - Flucelvax (CPT code 90674) (October 20, 2016)
- Outpatient Hospital Modernization FAQ (October 20, 2016)
- Treatment for Gender Identity Disorder - Gender Reassignment Surgery and Procedures (October 20, 2016)
- ICD-10 Diagnosis Codes Not Covered for Date of Services 10/1/2016 and Forward(October 20, 2016)
- Important EVV Implementation Date Update (October 20, 2016)
- Santrax Payer Management System Important Message (October 20, 2016)
- Hospital Monthly Important Message (October 18, 2016)
- New Eligibility System (October 18, 2016)
- CHC Refresher Workshop (October 12, 2016)
- Important Electronic Visit Verification (EVV) Notice (October 12, 2016)
- Electronic Visit Verification Implementation (Updated 10/6/16) (October 12, 2016)
- Revised Provider Manual Chapters (October 6, 2016)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (October 6, 2016)
- Subsequent Observation Procedure Codes (99224-99226) (October 3, 2016)
- CMAP Addendum B Updated (October 3, 2016)
- Annual Reassessment: Provider Attendance and Location (September 23, 2016)
- EVV - Important Message Update: New SSN Policy, Updated Task List and Training Information (September 23, 2016)
- Important ABI Reminders and Updates (September 19, 2016)
- Frequently Asked Questions (FAQs) ? Provider Bulletin PB16-31 (September 19, 2016)
- Hospital Monthly Important Message (Updated 9/14/16) (September 15, 2016)
- Revised Provider Manual Chapters (Updated 9/9/16) (September 14, 2016)
- CMAP Addendum B Updated (Posted 9/7/16) (September 9, 2016)
- School Based Child Health Enrollment on the Web Workshop Invitation (September 9, 2016)
- ACA Enhanced Provider Enrollment Requirements - Fingerprint Based Criminal Background Checks (FCBC) (September 9, 2016)
- Reimbursement Update of Code 81528 on Independent Laboratory Fee Schedule (September 6, 2016)
- Electronic Visit Verification Reporting a Change in Client Condition (September 6, 2016)
- LTC Refresher Workshop Invitation (August 29, 2016)
- Dental Fee Schedules Effective September 1, 2016 Are Available (August 29, 2016)
- Caregiver Time Documentation Best Practices in EVV/FVV Device Order Form (August 25, 2016)
- Meaningful Use Attestation Deadline for Program Year 2015 is August 31, 2016 (August 24, 2016)
- Phase II Children's Dental Fee Schedule Reduction (August 24, 2016)
- Outpatient Hospitals Prior Authorization Issue (updated 8/18/2016) (August 24, 2016)
- Hospital Monthly Important Message (Updated 8/17/16) (August 18, 2016)
- Eligible Clients Under the Affordable Care Act Part V (Temporary ID Notice Update) (August 17, 2016)
- Update to 835 Electronic Remittance Advice (ERA) for September (August 17, 2016)
- Inpatient Delivery Stays (Updated 8/12/16) (August 17, 2016)
- Repairs and Modifications for Miscellaneous Wheelchair Components Billed Under Procedure Code K0108 (August 17, 2016)
- Outpatient Prospective Payment System and Inpatient Only Procedures (August 17, 2016)
- Revised Provider Manual Chapters (Updated 8/3/16) (August 5, 2016)
- Hospital Refresher in CMAP Hospital Policies and Claim Submission Procedures Workshop Invitation 2016 (August 4, 2016)
- New Autism Spectrum Disorder Services (August 3, 2016)
- Electronic Visit Verification Implementation (Updated 7/28/16) (July 29, 2016)
- Phase I Changes to the Children's Dental Fee Schedule for August 1, 2016 (July 29, 2016)
- CMAP Medicaid Access Monitoring Review Plan (AMRP) (July 27, 2016)
- Reinstatement of Pharmacy Monthly Co-pay Maximum for Dual Eligible Clients (July 27, 2016)
- ABI Billing and Web Claim Submission Workshop Invitation (July 19, 2016)
- Electronic Visit Verification Notification to Clients Receiving Services (July 19, 2016)
- CT DSS EVV Webinar Based Training (July 15, 2016)
- Web Claim Submission Workshop Invitation (July 15, 2016)
- Patient Encounter List (PEL) - Template and Requirements for Both Program Years 2015 and 2016 (July 12, 2016)
- Revised Joint Guidance Issued by DSS and CTDOL Regarding USDOL's Home Care Final Rule (July 12, 2016)
- Attention Providers – Provider Bulletin PB16-37 New Autism Spectrum Disorder Services is Being Rescinded (June 30, 2016)
- Provider Qualification Process for Autism Spectrum Disorder Services (June 30, 2016)
- Elimination of Paper Claims FAQ (June 30, 2016)
- EVV Training Important Information (June 28, 2016)
- Outpatient Hospital Modernization – Behavioral Health Services (June 28, 2016)
- Mosquito Repellent Bulletin (June 28, 2016)
- Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (June 22, 2016)
- Opioid Legislation (June 22, 2016)
- Electronic Visit Verification Third Party Interface Support (PB16-33) Clarification (June 22, 2016)
- Payment for Inpatient Hospital Care Provided to Inmates (June 21, 2016)
- DSS Issues Request for Proposals (RFP) for Medicaid Quality Improvement and Shared Savings Program (June 13, 2016)
- Electronic Visit Verification Third Party Interface Support (June 13, 2016)
- Electronic Visit Verification Important Message (Updated 6/10/16) (June 13, 2016)
- July 1, 2016 Changes to the Connecticut Medicaid Preferred Drug List (PDL), Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 9, 2016)
- Billing for Customized Wheelchairs (June 9, 2016)
- Elimination of Paper Claims Notification (June 9, 2016)
- Electronic Visit Verification Updates (June 9, 2016)
- View EVV Introductory Webinar Invitation (June 9, 2016)
- View EVV Introductory Webinar Invitation (June 9, 2016)
- View Updated EVV FAQ (June 9, 2016)
- Update Regarding Outpatient Hospital Modernization - Outpatient Prospective Payment System (OPPS) (June 3, 2016)
- Modified Stage 2 Meaningful Use 2016 (June 3, 2016)
- MAPIR Is Now Available and Accepting Medicaid Eligible Professionals (EP) Attestations for Modified Stage 2 of the EHR Incentive Program (June 3, 2016)
- Home Health Medication Administration Reimbursement Reduction (June 3, 2016)
- Important Information - Modified Stage 2 Meaningful Use 2015 (May 26, 2016)
- Hospital Modernization (APC) June 2016 Workshop Invitation (May 24, 2016)
- Introduction to the Department of Social Services Electronic Visit Verification Implementation (May 18, 2016)
- Updated Timeframe for Requesting Authorization for Retroactive Eligibility (May 18, 2016)
- Electronic Visit Verification Implementation Update (May 18, 2016)
- New National Drug Code Requirements for Manually Priced Vaccines and Toxoids (May 17, 2016)
- Medicare Cost Reports (May 17, 2016)
- Discontinue Use of Expired Form W-1HUS (HUSKY Application and Renewal Form) (May 11, 2016)
- Upcoming Changes to the CT Medicaid EHR Incentive Program Attestation Review Process for Eligible Professionals (May 11, 2016)
- New HUSKY D Medicaid Procedures for Individuals Needing Long-Term Services and Supports (LTSS) (May 4, 2016)
- Changes to Prior Authorization Requirements for Advanced Imaging and Nuclear Cardiology Services (April 26, 2016)
- May Updates to 835 Electronic Remittance Advice (ERA) (April 22, 2016)
- Outpatient Claim Submission Workshop Invitation May 2016 (April 22, 2016)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (April 22, 2016)
- Attention Connecticut Home Care (CHC), Personal Care Assistance (PCA), Community First Choice, and Home Health Agency Providers (April 22, 2016)
- Hospital Billing and Reimbursement for Immediate Postpartum Long-Acting Reversible Contraceptive Products (April 15, 2016)
- Important ABI Waiver Provider Enrollment and Claim Submission Changes for Providers of ABI Waiver Services under the ABI Waiver Program (April 15, 2016)
- Hospital interChange Provider Issues Updated (April 14, 2016)
- Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (April 14, 2016)
- Inpatient delivery stays denying due to lack of prior authorization when the delivery stays do not require prior authorization (April 12, 2016)
- Attention Hospice Providers: Fee Schedule Updates (March 31, 2016)
- Inpatient delivery stays denying due to lack of prior authorization when the delivery stays do not require prior authorization (March 31, 2016)
- Electronic Visit Verification (EVV) Implementation Important Message and Introduction to EVV Presentation (March 31, 2016)
- Clarification of Changes to Narcan Prescribing (March 17, 2016)
- Prescribing of Opioid Antagonists by Certified Pharmacists (March 16, 2016)
- Notification of Federal Upper Limit Changes (March 16, 2016)
- Inpatient Hospital Providers - Inpatient delivery stays denying due to lack of prior authorization when the delivery stays do not require prior authorization (March 10, 2016)
- Attention Home Health Providers: Remittance Advice Issue (March 10, 2016)
- Updated MEDS Fee Schedule Changes (March 8, 2016)
- interChange Provider Important Message - Electronic Visit Verification Implementation Overview (March 4, 2016)
- interChange Provider Important Message (March 4, 2016)
- URGENT MESSAGE! To All Eligible Professionals seeking to avoid Medicare payment adjustments (March 3, 2016)
- Durable Medical Equipment Providers - Fee Schedule Update Effective March 1, 2016 (March 1, 2016)
- Hospital Based Practitioners - Outpatient Services (February 26, 2016)
- Updated MEDS Fee Schedule Changes (February 26, 2016)
- Change in Timeframe for Requesting Authorization for Retroactive Eligibility (February 16, 2016)
- An Alternate Method of Attestation is Available for Certain Medicaid Providers through the EHR Incentive Program Registration and Attestation System (February 10, 2016)
- Billing for Partial Payment for Behavioral Health Intermediate Levels of Care (February 2, 2016)
- Guidance to Eligible Hospitals (EHs) on the Public Health Specialized Case Registry Option for Medicaid EHR Incentive Program Meaningful Use Applications Program Years 2015 and 2016 (February 2, 2016)
- Guidance to Eligible Professionals on the Public Health Specialized Case Registry Option for Medicaid EHR Incentive Program Meaningful Use Applications Program Years 2015 and 2016 (February 2, 2016)
- Update on the Status of Meaningful Use Public Health Measure Registry Options for the EHR Incentive Program for Program Years 2015 and 2016 (January 29, 2016)
- Updated Consent to Sterilization Form Posted to Web Portal (January 29, 2016)
- Revised 2016 Medicaid Consolidated Laboratory Fee Schedule (January 22, 2016)
- New Coverage Guidelines for CPT Code V2025 Deluxe Frames (January 22, 2016)
- Revised 2016 Medicare Physician Fee Schedule (MPFS) (January 12, 2016)
- Important PCA Waiver Provider Enrollment and Claim Submission Changes for Agency Providers of Adult Family Living and Support Broker Services Under the PCA Waiver Program (January 8, 2016)
- Documentation and Billing Guidelines for Services Performed by Residents in the Hospital Setting (January 8, 2016)
- New Prior Authorization Request Form for PCSK9 Inhibitors (January 4, 2016)
- 2016 Independent Radiology Fee Schedule HIPAA Compliant Update (January 4, 2016)
- 2016 HIPAA Compliant Update, Establishing Maxfees for Select Services, Removal and Addition of Select Services, and Place of Service Codes (December 31, 2015)
- 2016 Clinic Fee Schedules HIPAA Compliant Update (December 31, 2015)
- 2016 Independent Audiology and Speech and Language Pathology Fee Schedule HIPAA Compliant Update (December 31, 2015)
- Consolidated Laboratory Fee Schedule Update (December 30, 2015)
- School Based Child Health Provider Enrollment/Re-Enrollment on the Web (December 24, 2015)
- Alternative Measures and Exclusions will be available to Eligible Professionals who are scheduled to attest to Meaningful Use Stage 1 under the new program requirements (Modified Stage 2) (December 10, 2015)
- InterChange Provider Important Message (December 10, 2015)
- Medications for Substance Use Disorders (December 3, 2015)
- Medication Administration Savings Expectations for Fiscal Years 2016 (December 3, 2015)
- Update to Revenue Center Codes (RCC) Requiring a Valid CPT or HCPCS on Outpatient Claims and Change in Prior Authorization Requirements for certain RCCs (November 30, 2015)
- Changes to Prior Authorization Requirement for Selected Codes on Physician Fee Schedule (November 30, 2015)
- Outpatient Hospital Modernization – Outpatient Prospective Payment System (OPPS) (November 23, 2015)
- Additional Expansion of Coverage For Over The Counter (OTC) Products (November 20, 2015)
- Clarification of Ambulance Mileage Procedure Codes (November 20, 2015)
- Outpatient Hospital APC December Workshops (November 17, 2015)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (November 10, 2015)
- CMS National Correct Coding Initiative (NCCI) (November 10, 2015)
- Changes to the Ambulance Fee Schedule (Emergency and Non-Emergency) (November 5, 2015)
- New Prior Authorization Request Form for Orkambi (November 5, 2015)
- Developmental and Behavioral Screens in Primary Care (November 4, 2015)
- Rate for Live-In Person Care Assistant Service (October 23, 2015)
- Three (3) Day Rule: Outpatient Stay Prior to Inpatient Admission (October 23, 2015)
- Changes to the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types (October 20, 2015)
- Multi-disciplinary Examinations (October 20, 2015)
- Fee Schedule Update for Behavioral Health Clinics (October 20, 2015)
- Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Primary Care (October 16, 2015)
- Autism Spectrum Disorder (ASD) Evaluation and Treatment Services Provided by Medical Clinics, Rehabilitation Clinics and Board Certified Behavior Analysts (October 14, 2015)
- Addition of New Medication Administration Prompt Code (September 30, 2015)
- Important - Withdrawal of Extended Nursing Services Policy (September 30, 2015)
- Increase in Hospice Rates (September 28, 2015)
- Decrease in Current Rate for Code G0431 (September 15, 2015)
- Addition of New Meningococcal Vaccines to the Medical Clinic and Physician Office and Outpatient Fee Schedules (September 15, 2015)
- Addition of Code Q4081 to Dialysis Clinic Fee Schedule (September 15, 2015)
- Claims with Abortion Procedure Codes (September 15, 2015)
- Medically Unlikely Edits (MUEs) (September 15, 2015)
- Revised Provider Manual Chapters (September 15, 2015)
- Billing Requirements to Identify a Distinct/Separate Urgent, Clinic or Emergency Visit (August 17, 2015)
- Revised Billing Instructions for Outpatient 340B Pharmacies on Outpatient Claims (August 7, 2015)
- Provider Enrollment for New CT Home Care Program Services (August 7, 2015)
- Changes to the Reimbursement for Physician Pathology, Medicine and Surgical Services with a Professional (26) and Technical (TC) Component (August 7, 2015)
- Claims Processing Guidance for Implementing ICD-10 Codes (August 7, 2015)
- Audiology and Speech and Language Pathology Reimbursements (August 3, 2015)
- Elimination of Mailing Paper Remittance Advices (August 3, 2015)
- Important Changes to Electronic Orders for MEDS Products (August 3, 2015)
- Modifications to Prior Authorization Requirements for Select Surgical Codes (July 30, 2015)
- ICD-10 Information (July 30, 2015)
- Eligible Clients under the Affordable Care Act Part IV (Temporary ID Update) (July 30, 2015)
- Pharmacy Legislative Changes and Prior Authorization Changes (July 23, 2015)
- Withdrawal of Home Health Aide Services Policy (July 23, 2015)
- Connecticut Medical Assistance Program Hospice Refresher Workshop (July 23, 2015)
- Upcoming Changes to the Automated Voice Response System Menu Options (July 20, 2015)
- Continuation of the HUSKY Health Primary Care Increased Payments Policy (July 17, 2015)
- Changes to the Orthodontic Qualifying Score (July 17, 2015)
- Hospital interChange Updated as of 07/13/2015 (July 10, 2015)
- Revised Provider Manual Chapters (July 10, 2015)
- ** HUSKY Health Primary Care Increased Payments Policy ** (July 8, 2015)
- Pharmacy Legislative Changes due to the Provisions of the State Budget (July 8, 2015)
- Payment Error Rate Measurement (PERM) Program Audit Requests (July 2, 2015)
- Quantity Modifications for Laboratory Procedure Codes (July 2, 2015)
- ICD-10 Related Explanation of Benefit (EOB) Codes in Connecticut Medical Assistance Program (CMAP) and Fee Schedule Updates for ICD-10 Diagnosis Codes (July 2, 2015)
- Billing Protocol for Services Provided in Emergency Rooms by Physicians Not Enrolled in Medicaid (July 2, 2015)
- Pharmacy Legislative Changes due to the Provisions of the State Budget (July 2, 2015)
- Long Term Care and Inpatient Hospital Providers (July 2, 2015)
- Connecticut State Budget and Changes under the Connecticut Medical Assistance Program (June 30, 2015)
- Billing Procedures for Services Ordered by Residents and Interns (June 25, 2015)
- Requirements for Payment to Federally Qualified Health Centers (June 24, 2015)
- Changes to the CT Medicaid Preferred Drug List, Hepatitis C Prior Authorization Criteria, Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the PDL (June 12, 2015)
- Nursing Home and ICF/IID Enrollment/Re-enrollment on the Web (June 12, 2015)
- Tobacco Cessation Group Counseling Services (June 5, 2015)
- Prior Authorization of Home Health Aide and Extended Nursing Services (June 3, 2015)
- Obstetrics Pay for Performance Program (June 2, 2015)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (May 22, 2015)
- REVISED: Prior Authorization for Medical Inpatient Hospital Stays (May 11, 2015)
- Electronic Time Keeping for Home Health Agencies and other Home and Community Based Service Providers (May 11, 2015)
- Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (May 7, 2015)
- Changes in Dental Coverage for Bitewings (May 7, 2015)
- Updated Guidance on Reporting Menu Objectives in Stage 1 Meaningful Use (MU) in Program Year 2014 (May 7, 2015)
- Provider Audit Trainings (May 6, 2015)
- Prior Authorization of Genetic Testing Services (April 30, 2015)
- Electronic Time Keeping for Home Health Agencies and other Home and Community Based Service Providers (April 29, 2015)
- Prior Authorization for Medical Inpatient Hospital Stays (April 24, 2015)
- Revised Billing Instructions for Outpatient Claims (April 14, 2015)
- Digital Breast Tomosynthesis (April 14, 2015)
- Temporary Delay for Pricing of Complex Rehabilitative Technology Equipment - MEDS (April 2, 2015)
- Implementation of Electronic Messaging - Replacement to the Mailing of Bulletins/Policy Transmittals (March 12, 2015)
- Independent Radiology Fee Update (March 5, 2015)
- DSS Pricing Policy for MEDS Items (April 8, 2015)
- Inpatient Hospital Modernization-Per Diem Payments for Rehabilitation and Behavioral Health (March 4, 2015)
- Billing Guidelines for Procedure Code B9998 – NOC Enteral Supplies (March 2, 2015)
- Establishment of Fixed Fees for Certain Outpatient Procedures (March 2, 2015)
- Revised Physician Radiology Fee Schedule – Professional Component of Radiology Services (March 2, 2015)
- Removal of the Prior Authorization Requirement from HCPCS A4264 (March 2, 2015)
- Re-pricing Rehabilitation Clinic Rates (March 2, 2015)
- Services Reimbursed Under the Obstetric (OBS) and Facility Obstetric (FTO) Rate Types (March 2, 2015)
- Dental Regulations Regarding Placement of Amalgam Restorations (March 2, 2015)
- Incentives for Medication Certification of Home Health Aides and for Administration of Medication by a Certified Home Health Aide (March 2, 2015)
- Revised 2015 Physician-Surgical, Physician-Radiology, Physician Office and Outpatient and Independent Radiology Fee Schedules (February 17, 2015)
- Digital Breast Tomosynthesis - CPT codes 77061 - 77063 (February 17, 2015)
- Clarification of Billing Medication Administration Visit Code and Skilled Nursing Visit Code Related to Pre-pouring of Medication (February 6, 2015)
- Expansion of Step Therapy Drug Classes (February 6, 2015)
- Updated MEDS Fee Schedule Changes (February 6, 2015)
- Hall Technique for the Placement of Stainless Steel Crowns (January 26, 2015)
- Billing Clients for Missed Appointments (January 23, 2015)
- Increasing the Reimbursement Rate for Mirena – HCPCS J7302 (January 23, 2015)
- Important Change to CHC Fee Schedule (January 19, 2015)
- Inpatient Medicare Exhausted Claims (January 9, 2015)
- Clarification Concerning Prior Authorization for Alcohol Withdrawal Delirium (January 9, 2015)
- Expansion of National Correct Coding Initiative to Additional Provider Types (January 6, 2015)
- Weather Related Transportation Cancelation/Delays (January 6, 2015)
- Consolidated Laboratory Fee Schedule Update (January 6, 2015)
- Incorporation of January 2015 Healthcare Common Procedure Coding System (HCPCS) (January 6, 2015)
- 2015 Clinic Fee Schedules HIPAA Compliant Update (January 6, 2015)
- HIPAA Billing Code Update for Independent Radiology (January 6, 2015)
- Billing for Emergency Department Services (January 6, 2015)
- Inpatient Hospital Modernization/Non DRG Payments for Per Diem Services (January 6, 2015)
- Autism Spectrum Disorder (ASD) Evaluation and Treatment Services (January 6, 2015)
- Behavioral Health Clinician and Psychologist 2015 HIPAA Compliant Fee Schedule Updates (January 6, 2015)
- Rate Increase for Home Health Agencies (December 17, 2014)
- January 1, 2015 Changes to the Connecticut Medicaid Preferred Drug List (PDL) / Reminder About the 5 day Emergency Supply / Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (December 3, 2014)
- Medicare Part D Co-pays for Dual Eligible HUSKY Low Income Subsidy Clients (December 3, 2014)
- New Hepatitis C Prior Authorization Criteria - Sovaldi™ (December 3, 2014)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health, Charter Oak, and CADAP Programs) (December 3, 2014)
- Rate for Live-in Personal Care Assistant Service (December 3, 2014)
- Inpatient Hospital Payment Modernization/All Patient Refined-Diagnostic Related Group (APR-DRG) (December 3, 2014)
- Increasing the Reimbursement Rate for Paragard – HCPCS J7300 (November 24, 2014)
- Funding for State-Funded Coverage for Independent Chiropractic Services for Adults Has Ended for State Fiscal Year 2015 (SFY2015) (November 17, 2014)
- Mileage Reimbursement for Homemakers and Companions Transporting Clients to Medical Appointments (November 13, 2014)
- HUSKY Health Primary Care Increased Payments Policy (November 5, 2014)
- Tobacco Cessation and New Screening Code and Program for Dental Hygienists (October 24, 2014)
- Provider Electronic Software (PES) Upgrade, Version 3.81 v2 (October 24, 2014)
- Provider Electronic Software (PES) Upgrade, Version 3.81 (October 24, 2014)
- Increase in Hospice Rates (October 15, 2014)
- Business Associate Agreement Between the Department of Social Services, Vendors and All CMAP Providers (October 15, 2014)
- Tobacco Cessation Group Counseling at Hospital Outpatient Settings (October 15, 2014)
- Addition of Influenza Vaccine (CPT 90688) to the Physician Office and Outpatient Fee Schedule (October 9, 2014)
- Companion/Aide Authorization Requirement (October 9, 2014)
- Implementation of ACA 1104 Uniform Use of CARCs, RARCs and CAGCs on the X12 835 Health Care Claim Payment/Advice (October 8, 2014)
- Hospital Based Practitioners - Inpatient Services (October 8, 2014)
- Full Activation of Pharmacy and Non-Pharmacy OPR Edits and Rescheduling of Hydrocodone Combination Products (October 8, 2014)
- Private PRTF Per Diem Rates (October 8, 2014)
- Urine Drug Screens Ordered by Methadone Clinics (October 8, 2014)
- Update to the Medicaid Dental Services Fee Schedule and Policy (September 16, 2014)
- Reimbursement for Practitioner Services Rendered in a Facility Setting (September 5, 2014)
- New Prior Authorization Form for Step Therapy Additional Classes (September 5, 2014)
- Influenza Vaccinations Administered in Family Planning Clinics (September 2, 2014)
- Newly Eligible Clients under the Affordable Care Act (Part II) (August 15, 2014)
- Updated Provider Re-enrollment Notification and Process (August 15, 2014)
- Clarification to Policy Bulletin 14-47 "Interim Guidance Regarding Electronic Orders for MEDS Products" (August 15, 2014)
- Add-on’s to fees for extraordinary costs related to AIDS, maternal and child health care, Escort services, or extended hour services (August 15, 2014)
- Pharmacy Web Prior Authorization (August 15, 2014)
- Prior Authorizations for Preventative Medicine and Evaluation and Management Visits Occurring on the Same Date of Service for Patients, 18-21 Years Old (August 15, 2014)
- Billing Guidance for Developmental and Behavior Health Screens in Primary Care (August 15, 2014)
- Developmental and Behavioral Health Screens in Primary Care - Requirement of Modifiers (July 22, 2014)
- Implementation of Connecticut General Statute 19a-492 Permitting Registered Nurses to Delegate Administration of Medication to Home Health Aides who have Obtained Certification for Medication Administration (July 22, 2014)
- Implementation of ACA 1104 Phase III Operating Rules - EFT and ERA Changes (Non-RX claims) (July 22, 2014)
- New CHC Respite PCA Service Procedure Codes (July 22, 2014)
- Enrollment Requirements for Residents (July 22, 2014)
- Interim Guidance Regarding Electronic Orders for MEDS Products (July 2, 2014)
- Expansion of Coverage For Over The Counter (OTC) Products (July 2, 2014)
- Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (July 2, 2014)
- Expansion of Coverage Provided by Licensed Behavioral Health Clinicians in Independent Practice (June 20, 2014)
- Pharmacy Implementation of ACA 1104 Phase III Operating Rules - EFT and ERA Changes (June 20, 2014)
- State Fiscal Year 2015 (SFY 2015) Funding for State-Funded Coverage for Independent Chiropractic Services for Adults (June 20, 2014)
- Billing Requirements for Urgent and Emergent Care (June 4, 2014)
- Non-FQHC Services Rendered in the Hospital and Nursing Facility (June 4, 2014)
- July 1, 2014 Changes to the Connecticut Medicaid Preferred Drug List (PDL, Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 4, 2014)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (HUSKY Health and CADAP Programs) (May 16, 2014)
- Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (May 16, 2014)
- Change in Timeframe for Processing of Retroactive Authorizations – Inpatient Hospital Stays (May 16, 2014)
- Expedited Medicaid Eligibility Processing for Individuals with Medical Emergencies (May 13, 2014)
- Obstetric Pay for Performance Program (May 13, 2014)
- Updated Pharmacy Billing Notification Regarding Newly Eligible Clients Under the Affordable Care Act (May 13, 2014)
- Newly Eligible Clients under the Affordable Care Act (Part III) (May 6, 2014)
- Outpatient Border Hospital Rates (April 30, 2014)
- New Provider Enrollment Requirements for FQHC Providers Performing Non-FQHC Services (April 17, 2014)
- Authorization For Clients With Other Insurance (OI) or Medicare (April 14, 2014)
- Timely Completion of Medical Records in the Hospital Setting (April 14, 2014)
- Locum Tenens Providers (April 14, 2014)
- Postponement: New Policies and Procedures Regarding Requirements for Payment of DME, including Customized Wheelchairs (March 24, 2014)
- Implementation of the ICD-10 Code Sets (March 21, 2014)
- Home Health Agency Care Plan and Claim Submission Changes Under the Connecticut Home Care Program for Elders (March 20, 2014)
- Care Plan and Claim Submission Changes Under the Connecticut Home Care Program (March 19, 2014)
- Coverage of Hospital-Grade Breast Pumps under Durable Medical Equipment (DME) Fee Schedule (March 19, 2014)
- Amended Pages to Annual Report of Long-Term Care Facility (March 14, 2014)
- Adult Family Living/Foster Care Credentialing/Enrollment and Claim Submission Guidelines (March 14, 2014)
- Newly Eligible Clients under the Affordable Care Act (Part II) (March 11, 2014)
- Changes to the Requirements for the Prior Authorization of Home Health Aide Services (March 10, 2014)
- Delay in Implementation: New Policies and Procedures Regarding Requirements for Payment of DME, including Customized Wheelchairs (March 4, 2014)
- 2014 ACA Enhanced Rates for Primary Care Services (February 27, 2014)
- Prior Authorization for Alcohol Withdrawal Delirium (February 21, 2014)
- Updated MEDS Fee Schedule and Reimbursement (February 21, 2014)
- Vaccine Administration Procedure Codes 90471-90474 (February 11, 2014)
- Prior Authorization of Nuclear Cardiology Studies (January 31, 2014)
- Revenue Center Codes (RCC) Requiring a Valid CPT or HCPCS Procedure Code on Outpatient Claims (January 31, 2014)
- Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (January 28, 2014)
- Behavioral Health Clinic Fee Schedule Update (January 20, 2014)
- Psychologist Fee Schedule Update (January 20, 2014)
- Newly Eligible Clients under the Affordable Care Act (Provider Bulletin 2014-01) (January 10, 2014)
- Physician Fee Schedule Updates (January 10, 2014)
- Fee Schedule Updates 2 (January 10, 2014)
- CMS 1500 Form (version 02/12) (January 6, 2014)
- Fee Schedule Updates (January 6, 2014)
- Consolidated Laboratory Fee Schedule Update (January 6, 2014)
- Incorporation of January 2014 Healthcare Common Procedure Coding System (HCPCS) (January 6, 2014)
- Medicare Part D Co-pays for Dual Eligible Husky Low Income Subsidy Clients (December 16, 2013)
- January 2, 2014 Changes to the Connecticut Medicaid Preferred Drug List (PDL, Reminder About the 5 day Emergency Supply and Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (December 12, 2013)
- Change to Current Medicare Cost Avoidance Requirements for Home Health Claims (December 9, 2013)
- Implementation of ACA 1104 Phase III Operating Rules - EFT and ERA Changes (December 9, 2013)
- CT Home Care Program for Elders (December 9, 2013)
- Shutdown of Charter Oak Health Plan and ConnPACE Programs (December 5, 2013)
- Administration of automated medication dispensers for the purpose of dispensing medication (December 5, 2013)
- International Classification of Diseases, 10th Revision (ICD-10) Implementation and the Elimination of Provider Electronic Solutions (PES) (November 25, 2013)
- Temporary Deferment of Affordable Care Act Provider Enrollment Requirement for Residents Serving HUSKY Clients (November 19, 2013)
- Updated Fee Schedule for Influenza Virus Vaccines (November 19, 2013)
- Increase in Hospice Rates (November 13, 2013)
- Incorporation of the January 2013 HCPCS Changes (November 13, 2013)
- MEDS Fee Schedule Revisions and Clarification Pertaining to Repairs of Competitive Bid Items (November 5, 2013)
- Incorporation of the 2013 Healthcare Common Procedure Coding System (HCPCS) Changes (November 5, 2013)
- Implementation of Affordable Care Act Mandate: Prior Authorization of Inpatient, Outpatient and Professional Services – OPR Requirement (November 5, 2013)
- Enhanced Editing of Attending Provider NPI Number (November 5, 2013)
- Important Claim Processing Update (October 10, 2013)
- The Implementation of the OPR Claim Edits (October 8, 2013)
- The Implementation of the OPR Claim Edits 2 (October 8, 2013)
- The Implementation of the OPR Claim Edits 3 (October 8, 2013)
- The Implementation of New Claim Billing Requirements and the OPR Claim Edits (October 8, 2013)
- The Implementation of New Claim Billing Requirements and the OPR Claim Edits Edits 2 (October 8, 2013)
- Delay of Outpatient Surgery Initiative (October 8, 2013)
- Enhanced Editing of Prescribing Provider NPI Numbers (September 25, 2013)
- Client Notification Regarding the Use of A One-Time, 14-day Prior Authorization (September 25, 2013)
- New Requirement for Prior Authorization of Incisional and Ventral Hernia Repairs (August 23, 2013)
- Claims for Outpatient Surgery and Pathology Lab Services (August 23, 2013)
- Updated Fee Schedule for Ambulatory Surgery Centers (August 23, 2013)
- Modifier 25 No Longer Required To Bypass NCCI Edit (August 23, 2013)
- Obstetrics Pay for Performance Program (August 5, 2013)
- Change to Diagnosis Requirements for Medicare Part B Cost Avoidance Associated with Enteral Nutrition (July 26, 2013)
- Clarification of New Diagnosis Requirement for Prevacid Solutab Coverage for Clients Over the Age of 20 (July 26, 2013)
- Reimbursement Methodology for Services Rendered by Physician Assistants (July 26, 2013)
- Electroconvulsive Therapy Prior Authorization Changes (July 16, 2013)
- State-Funded Coverage for Independent Chiropractic Services for Adults (July 16, 2013)
- Implementation of Enhanced Payments for Primary Care Services – Update (July 3, 2013)
- Coverage of Condoms and Spermicide under Medicaid and Family Planning – Limited Benefit (June 27, 2013)
- Implementation of Affordable Care Act Claim Edits (June 27, 2013)
- Important Connecticut Home Care Online Enrollment Notification, Claim Submission and Other Program Changes (June 27, 2013)
- Overpayments for Clinical Laboratory Services (June 27, 2013)
- July 1, 2013 Changes to the Connecticut Medicaid Preferred Drug List (PDL) / Reminder About the 5 day Emergency Supply / Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) (June 27, 2013)
- Maximum Allowable Cost (MAC) Pricing and Web site Postings (June 7, 2013)
- Non-Emergency Medical Transportation (Nemt) Spend Down Policy Clarification (May 31, 2013)
- Independent Audiology and Speech and Language Pathology Fee Schedule Update (May 31, 2013)
- New Prior Authorization Criteria for Proton Pump Inhibitors (PPIs) (May 24, 2013)
- Important Connecticut Home Care Online Enrollment Notification, Claim Submission and Other Program Changes (May 20, 2013)
- Electronic Claims Submission, Web Remittance Advice, Check, EFT and 835 Schedule (May 20, 2013)
- Implementation of Affordable Care Act Claim Edits (May 15, 2013)
- Psychotherapy Prior Authorization Changes (May 13, 2013)
- Clarification: Updated MEDS Fee Schedule and Reimbursement (April 26, 2013)
- Children’s Behavioral Health Rehabilitation Billing Procedures (April 26, 2013)
- Change in Professional Fee (Dispensing Fee) (April 26, 2013)
- Change in Methodology for Measurement of Access Standard (April 16, 2013)
- Important CHC Provider Enrollment and Claim Submission Changes (April 16, 2013)
- Prior Authorization Requirements – Independent Chiropractic Services (April 11, 2013)
- Transition to the Updated ADA 2012 J434 Dental Claim Form (April 11, 2013)
- Requirements for Payment of Services Provided by Physicians (April 11, 2013)
- Procedure Codes Excluded from Applied Income (April 11, 2013)
- Updated Medical Transportation Fee Schedule (March 25, 2013)
- Transportation Billing Update (March 25, 2013)
- RCC Crosswalk to New Psychiatric Procedure Codes for 2013 (March 20, 2013)
- Non-Emergency Ambulance Coverage For HUSKY B and Charter Oak Clients (March 20, 2013)
- Electronic Funds Transfer Change Notification (March 20, 2013)
- Public Act 12-1 Reporting Requirements (February 6, 2013)
- Elimination of Paper Re-enrollment Applications (February 5, 2013)
- Updated MEDS Fee Schedule and Reimbursement (February 5, 2013)
- Elimination of Independent Chiropractic Services (February 5, 2013)
- Connecticut Medicaid Electronic Health Record (EHR) Incentive Program – Financial incentives for electronic health record adoption and meaningful use. (January 30, 2013)
- Enhanced Payments for Primary Care Services (January 30, 2013)
- National Correct Coding Initiative (NCCI) Edit (January 30, 2013)
- Updated Medical Transportation Fee Schedule (January 18, 2013)
- Change in Hospice Rates (January 18, 2013)
- School Based Child Health Service Providers Re-enrollment process in the Connecticut Medical Assistance Program (January 10, 2013)
- State Funded Home Care Program for Elders (January 10, 2013)
- Behavioral Health Clinician Fee Schedule Update (January 10, 2013)
- Incorporation of January 2013 HCPCS (January 10, 2013)
- Incorporation of January 2013 HCPCS 2 (January 10, 2013)
- Incorporation of January 2013 HCPCS 3 (January 10, 2013)
- Incorporation of January 2013 HCPCS 4 (January 10, 2013)
Additional Modifiers, Psychotherapy Changes for 2013 and ACA Increased Payments for Medicaid Primary Care Services
- Incorporation of January 2013 HCPCS 5 (January 10, 2013)
- Change in Professional Fee (Dispensing Fee) (January 4, 2013)
- Changes to the Connecticut Medicaid Preferred Drug List (PDL) (January 4, 2013)
The Implementation of the Ordering, Prescribing, and Referring (OPR) Claim Edits:
The Implementation of New Claim Billing Requirements and the Ordering, Prescribing, and Referring (OPR) Claim Edits:
Incorporation of January 2013 Healthcare Common Procedure Coding System (HCPCS):
- Medicare D Coverage of Benzodiazepines and Barbiturates (December 20, 2012)
- Consolidated Laboratory Fee Schedule Update (December 18, 2012)
- Certificate of Need Requirement for Inpatient Admissions for Individuals Under the Age of 21 (December 13, 2012)
- Performing Provider Enrollment Requirements for Nursing Homes, Home Health, Radiology and State Agencies in the Medicaid Program (December 7, 2012)
- Florida Prescriber’s DEA License Suspension (December 7, 2012)
- MEDS - Fee Schedule Changes for HCPCS E0445, E0770 and S1040 (December 7, 2012)
- State Funded Coverage for Chiropractic Services (November 20, 2012)
- Expansion of Medicaid Prescription Vouchers for Individuals Released from Correctional Institutions or Through the Courts (November 1, 2012)
- Enhanced Care Clinic Access Requirements Clarification (October 23, 2012)
- CT BHP Extended Day Treatment (EDT) Reimbursement Rate Increase for HUSKY Members (October 23, 2012)
- Enhanced Care Clinic Surveys (October 23, 2012)
- Drug and Alcohol Abuse Center Fee Schedule Update (October 22, 2012)
- Important Changes to Provider Enrollment (October 22, 2012)
- Important Changes to Provider Re-enrollment (October 22, 2012)
- Fee Schedule Update for Behavioral Health Services (October 22, 2012)
- Availability of Pharmacy Prior Authorization (PA) Forms (October 19, 2012)
- Requirements for Payment to Birth Centers (October 19, 2012)
- Physician Fee Schedule – Reimbursement Updates for Obstetrical Delivery Procedures Codes (October 11, 2012)
- Change of Dental Fee Payment for Dentures and Resin Fillings (October 11, 2012)
- Private Non-Medical Institution (PNMI) Rates for Adult Mental Health Rehabilitation Services (October 5, 2012)
- Change of Dental Benefit Assignment by Dental Provider to Benefit Assignment by Client (October 3, 2012)
- National Correct Coding Initiative (NCCI) New Medicaid-Only Procedure to Procedure (PTP) Edits Relating to Wheelchairs (October 3, 2012)
- Client Notification Regarding the Use of A One-Time, 14-day Prior Authorization (October 3, 2012)
- Expansion of the NCPDP Response Segment to Support NCPDP D.0 Reject Codes (October 3, 2012)
- New Medicaid (HUSKY) Spend-down Procedures (September 21, 2012)
- Open Forum on Adopt/Implement/Upgrade (AIU) Attestation (September 12, 2012)
- Open Forum on Meaningful Use (September 12, 2012)
- Provider Data Verification Online Survey available starting August 20, 2012 (August 15, 2012)
- Ophthalmologists, Optometrists, Opticians, and Dental Providers Web Portal Claim History Inquiry (August 14, 2012)
- Meaningful Use Attestation Available for Connecticut Medicaid EHR Incentive Program (July 27, 2012)
- New Personal Care Agency (PCA) Per Diem and PCA Overnight Procedure Codes (July 20, 2012)
- Changes to Prior Authorization Process for Outpatient Surgery (July 2, 2012)
- Hospital Inpatient Services (June 26, 2012)
- Changes to the Connecticut Medicaid Preferred Drug List (PDL), Reminder About the 5 day Emergency Supply, Billing Clarification for Brand Name Medications on the Preferred Drug List (PDL) and New MAC Pricing Inquiry Worksheet (June 19, 2012)
- Change in Procedures for Brand Medically Necessary Pharmacy Prior Authorizations (June 14, 2012)
- Consolidated Laboratory Fee Schedule Update (June 8, 2012)
- Changes to Prior Authorization Process for Laboratory Procedures and Outpatient Surgery (June 5, 2012)
- Authorization Portal for Requesting MEDS (June 5, 2012)
- Changes to Authorization Process and New Authorization Portal for Requesting Rehabilitation Therapy (June 5, 2012)
- Payment Error Rate Measurement (PERM) Program Audit Requests (May 16, 2012)
- Changes to Request Process for Vision Care that Require Prior Authorization (May 11, 2012)
- Physician Signature on the CMS-485, Home Health Certification and Plan of Care (May 2, 2012)
- Update Concerning Prior Authorization (PA) Requests for Repairs to Prosthetics (May 1, 2012)
- Authorization Portal for Medical Admissions (April 17, 2012)
- Important Changes to Radiology Services (April 11, 2012)
- Other Provider Preventable Conditions (OPPCs) Reporting Requirements (April 11, 2012)
- Physician Fee Schedule Updates: Updated fees for Psychiatric and Selected Adult Medical Services (April 5, 2012)
- Behavioral Health Clinician Coverage for Individuals Under Age 21 in Fee-For-Service Medicaid (HUSKY C) and Medicaid for Low Income Adults (HUSKY D) (April 5, 2012)
- Behavioral Health Clinician Fee Schedule Update (April 5, 2012)
- Clarification of Billing Requirements for Medications Covered by Medicare Part D and Medicare Part B Including Additional Third Party Insurance (April 5, 2012)
- Authorization Portal for Requesting Medical Home Care Services (Mar. 28, 2012)
- Authorization Portal for Requesting Outpatient Hospital Rehabilitation Therapy (Mar. 28, 2012)
- Transition from Revenue Center Code 513 to More Precise Coding for Hospital Outpatient Psychiatric Services (Mar. 28, 2012)
- Enhanced Editing of Prescribing Provider NPI Numbers (Mar. 20, 2012)
- Consolidated Laboratory Fee Schedule Update (Mar. 8, 2012)
- New Physician Specialties for the Connecticut Medical Assistance Program (Mar. 8, 2012)
- Updated MEDS Fee Schedule and Reimbursement (Mar. 8, 2012)
- Independent Radiology Fee Schedule: 2012 Healthcare Common Procedure Coding System (HCPCS) Changes (Mar. 8, 2012)
- Presumptive Eligibility Certification and Guarantee of Payment Form, W-538 (Mar. 8, 2012)
- Direct Billing of Clients for Medicaid Covered Addiction Services and Billing for Addiction-Related Laboratory Services (Feb. 7, 2012)
- Instructions for Mass Load of Performing Providers (Feb. 7, 2012)
- Provider Enrollment Requirements for Hospitals and Clinics in the Medicaid Program (Nov. 30, 2011)
- Global Billing of Obstetric Care (Nov. 14, 2011)
- Changes Regarding the New HUSKY Health Program (Oct. 10, 2011)
- DSS Announces the New HUSKY Health Program (October 2011)
This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc.®, the State of Connecticut’s Medical Administrative Services Organization (ASO) for the HUSKY Health program. For the general HUSKY Health website gateway, please visit portal.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services (DSS).
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