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MedicaidAdministrativeMedium impact

School Based Child Health Provider Enrollment/Re-Enrollment on the Web

Connecticut Medicaid (HUSKY Health)·CT · Pediatrics·Provider Bulletin
Effective date
Apr 1, 2015
We identified it
Jun 20, 2026
Days to comply

Summary

Connecticut Medicaid has transitioned School Based Child Health (SBCH) providers from paper-based enrollment to mandatory online enrollment/re-enrollment through their web portal. Providers must now use the Hewlett Packard Enterprise Provider Enrollment Wizard and can no longer submit paper applications.

Action Required

Action needed
SBCH providers in Connecticut must: 1) Use the online Provider Enrollment Wizard at www.ctdssmap.com for all new enrollments and re-enrollments (no more paper applications), 2) Complete applications in their entirety as they cannot be saved for later completion, 3) Submit re-enrollment applications immediately upon receiving notification (6 months before due date) to allow processing time, 4) Subscribe to email notifications for training workshops. Failure to re-enroll before the due date will result in provider agreement termination.