MedicaidAdministrativeHigh impact
***June 2025 InterChange Newsletter***
Connecticut Medicaid (HUSKY Health)·CT · Psychiatry, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medical Assistance Program (CMAP/Medicaid) has implemented major changes including a new 1115 SUD Demonstration Waiver requiring ASAM criteria compliance and Carelon authorization for substance use disorder treatment, enrollment opportunities for Certified Dietitian-Nutritionists with reimbursement starting July 1, 2025, and mandatory use of updated Drug/Product Prior Authorization Forms as of April 1, 2025. These changes affect provider enrollment, billing procedures, and authorization requirements for Connecticut Medicaid providers.
Action Required
By July 1, 2025: SUD providers must enroll in CMAP as provider type 63/001 using taxonomy 324500000X, obtain provisional certification from DMHAS/DCF, and seek authorization from Carelon Behavioral Health for new admissions with ASAM-compliant assessments. Certified Dietitian-Nutritionists must complete online enrollment via CMAP Provider Enrollment Wizard with DPH certification and appropriate NPI taxonomy codes (133N00000X or 133V00000X). All providers must use the updated Drug/Product Prior Authorization Form for all PA requests. Upload certification letters through secure web portal at www.ctdssmap.com. Contact Provider Assistance Center at 1-800-842-8440 for enrollment assistance.