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MedicaidAdministrativeMedium impact

Claim Rejection E-Mailboxes for Providers and Who to Contact pdf

Connecticut Medicaid (HUSKY Health)·CT·Coding
Effective date
Aug 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut DSS is establishing new email routing procedures for claim rejections effective August 1, 2019. Providers must use specific email addresses based on rejection codes and client eligibility types, with different contacts for Medicaid waiver eligibility issues versus prior authorization/care plan denials.

Action Required

Action needed
By August 1, 2019: Billing team must update claim rejection workflow procedures to route inquiries to correct email addresses based on EOB codes. For codes 2003 and 4021 (eligibility issues), email Waiver.DSS@ct.gov for Medicaid waiver clients or ACUFinancial.DSS@ct.gov for state-funded clients. For codes 3003, 3015, 3016, and 5151 (prior auth/care plan issues), contact the Access Agency. Include client name, Medicaid ID, and service dates in all submissions. Stop using HomeandCommunityBasedServices.dss@ct.gov and Alternatecare.dss@ct.gov mailboxes after August 1.