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DSS Important Message - Provider Audit Requirements pdf

Connecticut Medicaid (HUSKY Health)·CT · Geriatrics·Provider Bulletin
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has clarified audit requirements for home care providers, establishing a structured timeline with Readiness Review after credentialing, followed by audits at 6 months, 1 year, and randomly thereafter. Failure to submit audit documents by due dates will result in suspension from new referrals for up to 6 months, with potential termination from the Connecticut Medical Assistance Program for continued non-compliance.

Action Required

Action needed
Immediately: Home care providers must ensure compliance with all Connecticut Medicaid audit requirements including timely submission of requested documentation by specified due dates. Administrative staff should review Provider Enrollment Agreement and Chapter 400o regulations at https://www.cga.ct.gov/current/pub/chap_400o.htm. Contact Hope Mitchell-Williams at 860-706-3290 or Melva Cooper at 860-949-9314 for questions. Failure to meet audit deadlines will result in suspension from new referrals and potential program termination.