MedicaidAdministrativeHigh impact
Updated Performing Provider Requirements for Select Clinic Providers pdf
Connecticut Medicaid (HUSKY Health)·CT · Family Medicine, Pediatrics, OB-GYN·Provider Bulletin
Effective date
Nov 1, 2018
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires all performing providers at Family Planning Clinics, School Based Health Centers, and Medical Clinics to be enrolled in CMAP and associated with the clinic organization. Claims must include a valid performing provider NPI or they will be denied.
Action Required
Before November 1, 2018: Ensure all performing providers are enrolled in Connecticut Medical Assistance Program (CMAP) using the DXC Technology Provider Enrollment Wizard at www.ctdssmap.com. Associate all enrolled providers to clinic organization using 'Maintain Organization Members' panel. Update billing system to always include performing provider NPI in electronic claims (837P NM109 segment, Loop ID 2420, Qualifier 82). For non-licensed providers, use supervising provider's NPI. Claims without valid performing provider NPI will be denied starting November 1, 2018.