2016 is the last year in which providers can attest to the Medicaid EHR Incentive Program for the first time.
Click here for details to participate.
Welcome to the HUSKY Health Program’s provider website. This website contains all of the information you need to know about being a provider in the State of Connecticut’s Medical Assistance Program.
All of the information you need is located within the links located on the left side of this page. Looking for an important program update? Check out the right side of this page. That is where we plan to post important information that is new to the program.
If you would like to see your patient panel, please click the Provider Login button on the left side of this page.
Have a question? Give us a call. Our number is 1.800.440.5071. We’re here Monday through Friday from 8 a.m. to 6 p.m.
The existing radiology program administered by Care to Care will be transitioning to eviCore healthcare for dates of service January 1, 2017 and forward. eviCore will review authorization requests and render medical necessity determinations for non-emergent outpatient advanced imaging services. eviCore will accept requests for dates of service January 1, 2017 and forward beginning December 19, 2016. For more information, refer to DSS Provider Bulletin 2016-70.
The radiology authorization portal gives providers the ability to submit prior authorization requests for high-tech radiology procedures (MRI, MRA, CT, CTA, PET, PET/CT) electronically over the internet.
For dates of service beginning July 1, 2016, prior authorization will no longer be required for:
- Advanced Imaging Services for members ages 18 & under, as of date of service
- Nuclear Cardiology Services for members of all ages
For more details, reference DSS Provider Bulletin 2016-16.
Prior authorization is NOT required for dual eligible members (Medicare/Medicaid coverage) unless the member has Medicare Part A coverage only.
For Technical Support for the CAREPortal please contact: 1.888.246.5559.
Radiology Authorizations: Providers wishing to submit retrospective requests for dates of service prior to 10/1/15 must contact HUSKY Health by calling 1.800.440.5071, selecting option “2” for Medical Authorizations, and then option “1” for Radiology.
Clear Coverage gives providers the ability to submit prior authorization requests for urgent and emergent inpatient admissions, select durable medical equipment (DME) and supplies, therapy services and home health visits. Through this secure portal, you have the ability to request authorizations, submit clinical information and track requests.
To add users for Clear Coverage access:
- Email us at firstname.lastname@example.org; or
- Call us at 1.877.606.5172
Medical Authorizations: Clear Coverage allows providers to backdate five (5) calendar days to accommodate for member retroactive enrollment and holidays.
Clear Coverage is now optimized for use with Internet Explorer (IE) 11, Google Chrome and Mozilla Firefox. If you use IE version 10 or earlier and experience any technical difficulties accessing or using Clear Coverage, please upgrade your browser to IE 11.
Go to the Help menu on your IE toolbar to find information on your current version of IE and how to upgrade. You should also use Adobe Flash Player 17.x or later for best results.
Prior Authorization Requirements!
In an effort to streamline the process for prior authorization reviews, please review the list of requirements for the submission of initial authorization and reauthorization requests for non-radiology medical goods and services.
ICD-10 codes are being implemented for date of service beginning October 1, 2015 for prior authorizations. This affects the submission of ICD-9 and ICD-10 codes in the prior authorization portals per the table below:
Prior Authorization Portal
ICD-9 Codes Accepted Until (for dates of service prior to 10/1/15)
ICD-10 Codes Accepted Starting (for dates of service beginning 10/1/15)
CAREPortal – Radiology Authorizations
Clear Coverage – Medical Authorizations
Attention OB Providers
Welcome to the second cycle of the HUSKY Health Obstetrical Pay for Performance program (OBP4P).
In order to participate, you will need to:
- Be an OB provider
- family medicine physicians, obstetrician/gynecologists, obstetric nurse practitioners, family medicine nurse practitioners, physician assistants and certified nurse midwives enrolled in the Connecticut Medical Assistance Program (CMAP)
- Be a registered user of the secure online provider portal
- Complete an initial practice registration form for the program
- Submit OB notification forms on line via HUSKY Health secure provider portal beginning June 1, 2015.
Questions regarding the OBP4P program should be directed to the OBP4P email address: email@example.com.