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CommercialAdministrativeMedium impact

2024 Commercial Networks and Benefit Plans

EmblemHealth·CT·Provider News
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

ConnectiCare is launching a new 'Value Network' effective January 1, 2024, which will be a localized subset of their Choice Network available to large group plans and will replace the Choice Network for individual plans purchased through Access Health CT. This network is Connecticut-specific with no EmblemHealth reciprocity and requires billing teams to verify network status for each member.

Action Required

Action needed
By January 1, 2024: Billing and eligibility verification staff must use the 'Check Provider Network Status' tool in the provider portal to verify ConnectiCare member network eligibility before services. Train staff to identify Value Network designation on member ID cards and confirm in-network status as this new network has different provider participation than existing Choice and Flex networks.