How to become a Medicaid provider in Connecticut
To bill Connecticut Medicaid, enroll through CMAP Provider Enrollment/Re-enrollment Wizard (www.ctdssmap.com), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
- Enrollment portal
- CMAP Provider Enrollment/Re-enrollment Wizard (www.ctdssmap.com)
- Steps
- 5
- Documents
- 5
- Plans listed
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Connecticut Medicaid enrollment at a glance
To bill Connecticut Medicaid, enroll through CMAP Provider Enrollment/Re-enrollment Wizard (www.ctdssmap.com), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
- Program
- Connecticut Medical Assistance Program (HUSKY Health)
- Enrollment portal
- CMAP Provider Enrollment/Re-enrollment Wizard (www.ctdssmap.com)
- Fiscal agent
- Gainwell Technologies (Provider Enrollment Unit, Hartford)
- Application fee
- Connecticut's application asks institutional providers to pay or attest to prior payment of the federal fee at enrollment, re-enrollment and when adding a service location; DSS sends a letter after submission if a fee is due. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
- Fingerprinting
- The enrollment wizard states that fingerprint-based checks apply to providers placed in the high-risk level at enrollment or re-enrollment. Federal rule (42 CFR 455.434, 455.450(c)): providers the state places in the 'high' categorical risk level, and anyone owning 5% or more of such a provider, must submit fingerprints for a criminal background check.
- Site visit
- Federal rule (42 CFR 455.432, 455.450(b)-(c)): the state must do site visits before and after enrollment for providers in the 'moderate' or 'high' risk levels, and any enrolled provider must allow unannounced on-site inspections.
- Revalidation
- Connecticut calls revalidation 're-enrollment': most provider types re-enroll every five years, with a notice letter six months before their contract ends. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.
- Provider manual
- Provider manual
Steps
- Check the fee schedule to pick the right taxonomy/provider type/specialty
- Complete the online Enrollment/Re-enrollment Wizard in one sitting (it cannot be saved mid-way); some provider types, such as nursing facilities, enroll on paper
- Print the Follow On Document and mail the listed evidentiary documents (licenses, certifications, extra forms) to the Gainwell Provider Enrollment Unit
- Pay or attest to the application fee if notified
- Track the application with Provider Enrollment Tracking; groups enroll first, then link performing providers
Documents the state asks for
Joining managed-care plan networks
- Credentialing
- Connecticut does not use capitated Medicaid MCOs. HUSKY Health is a self-insured, managed fee-for-service program run through administrative services organizations: Community Health Network of Connecticut (medical), Carelon Behavioral Health for the CT Behavioral Health Partnership, and BeneCare for the CT Dental Health Partnership. Providers enroll once with CMAP through Gainwell; there are no MCO networks to credential with. Centralized credentialing: not applicable (single state enrollment).
Frequently asked questions
How do I become a Medicaid provider in Connecticut?
To bill Connecticut Medicaid, enroll through CMAP Provider Enrollment/Re-enrollment Wizard (www.ctdssmap.com), run by Gainwell Technologies. The process has 5 steps, listed below with the documents the state asks for.
Is there an application fee to enroll in Connecticut Medicaid?
Connecticut's application asks institutional providers to pay or attest to prior payment of the federal fee at enrollment, re-enrollment and when adding a service location; DSS sends a letter after submission if a fee is due. Federal rule (42 CFR 455.460): the state must collect the CMS application fee from institutional providers that are newly enrolling or re-enrolling; individual physicians and non-physician practitioners are exempt, as are providers already enrolled in (or that already paid the fee to) Medicare or another state's Medicaid/CHIP. CMS set the fee at $750 for calendar year 2026.
How often must Connecticut Medicaid providers revalidate?
Connecticut calls revalidation 're-enrollment': most provider types re-enroll every five years, with a notice letter six months before their contract ends. Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at least once every 5 years.