Back to dashboard
MedicaidAdministrativeMedium impact

Patient Encounter List (PEL) - Template and Requirements for Both Program Years 2015 and 2016

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

Summary

Healthcare providers participating in the EHR Incentive Program must use a specific Excel template format for their Patient Encounter List (PEL) when reporting Medicaid encounters for program years 2015 and 2016. The PEL must include exact field headings and formatting requirements, or attestations will be marked incomplete.

Action Required

Action needed
Immediately: Download and use the official PEL template from the provided link. Ensure all Patient Encounter Lists include exact headings: Date of Service, Patient Last Name, Patient First Name, Date of Birth, Medicaid ID (when applicable), Payer, and Service Provider NPI. Submit as unlocked Excel files only. EHR attestation staff must verify format compliance to avoid incomplete status.