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Electronic Visit Verification (EVV)- Understanding Eligibility, Client Benefit Plans and Prior Authorization pdf
Connecticut Medicaid (HUSKY Health)·CT · Physical Therapy, Occupational Therapy·Prior Authorization
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Jun 20, 2026
Summary
This policy provides detailed instructions for verifying client eligibility and prior authorization requirements for Electronic Visit Verification (EVV) services through the Connecticut DSS portal. Providers must verify eligibility before starting care and ensure clients have approved prior authorizations for EVV-mandated services to prevent claim denials.
Action Required
Immediately: Billing team must verify client eligibility and prior authorization status before providing EVV services by logging into www.ctdssmap.com. Check that clients have valid waiver benefit plans (Personal Care Assistant, Acquired Brain Injury, Connecticut Home Care variants) and approved PA status. Contact appropriate Access Agencies (CCCI, SWCAA, AASCC, or WCAA) if PAs are missing. Failure to verify will result in claim denials and inability to generate claims in Santrax system.