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CTHUSKY Health (Connecticut Medicaid — FFS + ASO)

Healthcare Billing & RCM in Connecticut — Medicaid, Commercial Payers, and Regulations

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Updated

TL;DR

Connecticut Medicaid operates as HUSKY Health (Connecticut Medicaid — FFS + ASO) and contracts with multiple managed-care organizations for most of its covered population. Medicaid timely filing is 90 days from date of service. The 5 dominant commercial payers in Connecticut include national insurers and one or more regional Blues plans. The BCBS licensee is Anthem Blue Cross and Blue Shield Connecticut (Elevance Health). State-specific billing rules — including 3 tracked surprise-billing and prior-auth regulations — sit on top of federal protections such as the No Surprises Act and 42 CFR §447.45.

Connecticut Medicaid — HUSKY Health (Connecticut Medicaid — FFS + ASO)

Program nameHUSKY Health (Connecticut Medicaid — FFS + ASO)
Provider portalhttps://www.ctdssmap.com
FFS claims payer IDNo single canonical ID — routing is fiscal-intermediary-specific. Verify per clearinghouse.
Medicaid timely filing90 days from date of service

The federal ceiling for Medicaid timely filing is 12 months under 42 CFR §447.45; most states set a shorter window. Always verify the current policy on the Connecticut Medicaid provider portal before filing a late-billing appeal.

BCBS licensee in Connecticut

The Blue Cross Blue Shield Association licensee in Connecticut is Anthem Blue Cross and Blue Shield Connecticut (Elevance Health). See the Anthem (Elevance Health) payer guide for payer ID, timely filing, prior auth, and appeal procedures.

Top commercial payers in Connecticut

The dominant commercial insurers operating in Connecticut, in approximate order of lives covered. Click through for per-payer claims payer IDs, timely filing windows, prior-authorization rules, and appeal procedures.

Medicaid MCOs in Connecticut

Connecticut Medicaid MCO data has not yet been populated in the registry.

State-specific regulations affecting Connecticut billing

  • CT PA 22-118 (2022 — updates to surprise billing protections for OON services)
  • Conn. Gen. Stat. §38a-816(15) (prompt pay — 45 days clean claim)
  • CT PA 15-146 (emergency services balance billing)

Provider licensing & enrollment in Connecticut

Providers enroll via CT DSS Provider Enrollment Wizard (www.ctdssmap.com). HUSKY A/B/C/D share one FFS enrollment.

Major health systems headquartered in Connecticut

Health systemHeadquarters
Yale New Haven HealthNew Haven, CT
Hartford HealthCareHartford, CT
Trinity Health Of New EnglandHartford, CT
Nuvance HealthDanbury, CT
Stamford HealthStamford, CT

Frequently asked questions — Connecticut billing

What is the Connecticut Medicaid program called?

Connecticut's Medicaid program is known as HUSKY Health (Connecticut Medicaid — FFS + ASO). Providers enroll and manage claims through the provider portal at https://www.ctdssmap.com.

What is the Connecticut Medicaid timely filing limit?

HUSKY Health (Connecticut Medicaid — FFS + ASO) requires initial claims to be filed within 90 days from the date of service. The federal ceiling is 12 months under 42 CFR §447.45; Connecticut's 90-day window is set by the state provider manual. Late-billing exceptions may be allowed with good-cause documentation — verify on the state portal before filing an appeal.

Does Connecticut Medicaid publish a single claims payer ID?

No single canonical claims payer ID is published for HUSKY Health (Connecticut Medicaid — FFS + ASO). Claims route through the state's fiscal intermediary; look up the correct submitter ID in your clearinghouse directory (Availity, Change Healthcare/Optum, Waystar) and route managed-care claims by the member's MCO assignment.

Who are the largest commercial insurers in Connecticut?

The dominant commercial payers in Connecticut include Anthem (Elevance Health), Cigna, Aetna, UnitedHealthcare, Harvard Pilgrim, along with the BCBS licensee Anthem Blue Cross and Blue Shield Connecticut (Elevance Health). Each payer's claims routing, timely filing, and prior-auth rules differ — see the per-payer guides linked above.

What Medicaid managed-care organizations operate in Connecticut?

Connecticut Medicaid MCO data has not yet been populated in the registry. Consult the state Medicaid portal for the current MCO roster.

What state-specific billing regulations apply in Connecticut?

Connecticut has 3 tracked state-level statutes that affect medical billing and RCM: CT PA 22-118 (2022 — updates to surprise billing protections for OON services); Conn. Gen. Stat. §38a-816(15) (prompt pay — 45 days clean claim); CT PA 15-146 (emergency services balance billing). These sit on top of federal protections such as the No Surprises Act, HIPAA, and 42 CFR §447.45.

Run cleaner claims in Connecticut with QuickIntell

QuickRCM, QuickAuth, and QuickERA are tuned to HUSKY Health (Connecticut Medicaid — FFS + ASO) and the commercial payers on this page — eligibility, prior auth, claim scrubbing, and ERA posting all run on real payer rules, not generic adapters.

Disclaimer

This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. State Medicaid policies, MCO contracts, and payer rules change without notice — always verify against the current provider manual from Connecticut Medicaid and the member ID card before submission.