Provider News
August 2010 - Update: Provider Reconsideration Process
Please click here for more information.
March 2010 - DPH updates on the Hib and HPV Vaccines
To read the DPH bulletin please click on the link in the list below.
Enhancements To Community Health Network of Connecticut's Explanation of Payment – March 2010
Please click on the link in the list below to read about the enhancements to the current policy.
H1N1 News
1. A specific CPT code for the H1N1 vaccine has been established. That code is 90663 and is applicable whether the vaccine is either intranasal or injectable.
2. CPT 90663 is NOT reimbursable and there is no age limitation for this vaccine.
3. A new code, CPT 90470 - H1N1 immunization administration (intramuscular, intranasal), including counseling when performed, has been established for administration of the H1N1 vaccine. CPT 90470 should be reimbursed $12.52.
4. The E&M code for office visit is 99211 or 99212, depending on the professional level of "vaccinator".
** NOTICE TO CT HOSPITALS **
Your FFY08 Medicaid FFS Inpatient rate notification indicated DSS was seeking the assistance of CHA in "developing an appropriate method of processing payment differentials for services initially paid for by [Medicaid] managed care companies during the current state fiscal year." DSS expects to directly remit any payment differentials for hospital inpatient services delivered to Medicaid managed care members.
Until such time as DSS finalizes it decision directing Medicaid managed care plans on how to proceed with potential retro-active rate implementation, CHNCT is not preparing to unilaterally address this matter.
For CHNCT Husky A & B members, under the Husky ASO Program it is expected recently announced Medicaid FFS inpatient interim per diem rates will be utilized to pay inpatient claims with service dates on/after January 1, 2008. DSS is expected to address this matter directly with Husky ASO insurers prior to the end of next week.
Out-of-Network Provider Process [PDF] 
(144 KB)
Please see below for our Provider Newsletters. In order to view them, you will need to have a version of the free Adobe Acrobat Reader (version 4.0 or greater) installed on your computer. If you do not have a copy of this software and would like to download it, please visit Adobe.com to obtain it. To view a Provider Newsletter, please click on one of the below links to view the newsletter for that specific month.
Provider Newsletters and Communications
March, 2011 [PDF] (1.7 MB)
December, 2010 [PDF] (512 KB)
September, 2010 [PDF] (1.8 MB)
June, 2010 [PDF] (1.6 MB)
DPH updates on the Hib and HPV Vaccines - March 2010 [PDF] (50 KB)
CHNCT's Explanation of Payment Enhancements - March 2010 [PDF] (65 KB)
CHNCT Partners with Emdeon Announcement - March 2010 [PDF] (1.85 MB)
Presumptive Eligibility Certification and Guarantee of Payment Form, W-538 [PDF] (94 KB)
January, 2010 [PDF] (656 KB)
Respiratory Syncytial Virus (RSV) - September, 2009 [PDF] (297 KB)
Out-of-Network Prior Auth Process Notice - July 20, 2009 [PDF] (163 KB)
Ambulatory Surgery Center Billing Change - July 7, 2009 [PDF] (117 KB)
Husky and Charter Oak Rate Change Notice - June 30, 2009 [PDF] (85 KB)
Revised Authorization Request Forms - June 26, 2009 [PDF] (188 KB)
Rehab Clinics Billing Modifiers - June 22, 2009 [PDF] (117 KB)
Prior Auth Guidelines - March 6, 2009 [PDF] (129 KB)
September, 2009 [PDF] (610 KB)
June, 2009 [PDF] (379 KB)
January, 2009 [PDF] (728 KB)
Fall / Winter 2007 [PDF] (414 KB)
Spring 2007 [PDF] (504 KB)
Summer 2006 [PDF] (495 KB)
Spring 2006 [PDF] (667 KB)
Fall 2005 [PDF] (529 KB)
Summer 2005 [PDF] (367 KB)
Spring 2005 [PDF] (3.0 MB)
2004 Year-End Correction [PDF] (7 KB)
2004 Year-End [PDF] (406 KB)
December, 2004 [PDF] (451 KB)
January, 2004 [PDF] (343 KB)
September, 2003 [PDF] (319 KB)
May, 2003 [PDF] (67 KB)
December, 2002 [PDF] (203 KB)
October, 2002 [PDF] (65 KB)
September, 2002 [PDF] (46 KB)
July, 2002 [PDF] (46 KB)
May, 2002 [PDF] (39 KB)
January, 2002 [PDF] (45 KB)
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