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Claim Adjudication and Electronic Visit Verification

Connecticut Medicaid (HUSKY Health)·Coding
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

The policy clarifies the updated process for verifying Electronic Visit Verification (EVV) claims submitted through the Santrax system, including how to check claim export status and acceptance by HPE through both Santrax billing history and the DSS portal.

Action Required

Action needed
Immediately: Billing team must learn the new claim verification process - check Santrax billing history under 'Billing > History' to verify export, and use DSS portal 'Claims > Claim Inquiry' to verify HPE acceptance. Search by client ID and service dates only, not paid dates. Contact Sandata Customer Care at 1-855-399-8050 for file rejections.

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