MedicaidAdministrativeLow impact
Trauma Questionnaire Fax Number pdf
Connecticut Medicaid (HUSKY Health)·CT · Emergency Medicine, Critical Care, Orthopedics +2 more·Provider Bulletin
Effective date
Sep 17, 2019
We identified it
Jun 20, 2026
Summary
Connecticut hospitals can now fax trauma questionnaire forms and supporting documentation to DXC Technology at 1-833-577-3519 instead of only mailing them. The updated trauma questionnaire form will include this fax number starting October 2019.
Action Required
Connecticut hospital providers: Update trauma questionnaire submission process to include new fax option (1-833-577-3519) alongside existing mail option (P.O. Box 2981 Hartford, CT 06104). Train staff on dual submission methods for trauma documentation to DXC Technology.