Filling out forms and applications can be tedious. We can ensure that the process is smooth and is completed in a timely manner. Prior to completing and submitting any documents, please contact us at 203.949.4194 to ensure the submission of accurate and complete information.
The Glide Path Renewal option allows current DSS PCMH approved practices to transition from an effective NCQA PCMH recognized status past their expiration date and continue participation as an approved PCMH practice in the DSS program. The enhanced rate will be adjusted and the practice can continue to receive assistance from our CPTS team as they work towards re-recognition.
Please be sure to read all instructions prior to completing this form
Attention: When adding a provider to your PCMH roster by completing a PCMH/GP Change form, claims previously paid for which enhanced rates are due will require you to complete a claim adjustment for each claim in question via HP’s Secure Web portal. Please note, these claims will be included in a future monthly HP re-processing project and will pay the enhanced rate at that time if you choose not to individually adjust these claims via the Secure Web portal at this time.
This portion of the HUSKY Health website is managed by Community Health Network of Connecticut, Inc., the State of Connecticut’s Medical Administrative Services Organization for the HUSKY Health Program. For the general HUSKY website gateway, please visit www.ct.gov/husky. HUSKY Health includes Medicaid and the Children’s Health Insurance Program, and is administered by the Connecticut Department of Social Services.
To update your information, please select your HUSKY Health Program type. Once you select your program, you will need to login to access and review your personal information.
To see whether you belong to HUSKY A, B, C, D, or LB simply look at your HUSKY ID Card. The big, bold letter is your HUSKY program.