Connecticut Medical Assistance Program (HUSKY Health / DSS)

Credentialing and enrollment

Track practice enrollment, network contracts and provider-directory changes through the correct administrative team.

provider enrollment credentialing

Provider Enrollment Unit (Gainwell) — application changes and follow-on documents

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Phone

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Published hours

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Product, plan and location

medicaid · chip
Connecticut

Mailing address
Gainwell Technologies Provider Enrollment Unit P.O. Box 5007 Hartford, CT 06102-5007

Enrollment follow-on documents and application changes.

Enrollment/re-enrollment applications are submitted through the CMAP web wizard; follow-on documents and changes to a submitted application go by mail.

View source ↗ · Source checked 2026-10-25

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Track practice enrollment, network contracts and provider-directory changes through the correct administrative team.

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  • Individual and group NPIs
  • Application reference, location and requested network
  • Submission dates and outstanding checklist

Questions to resolve

  • Was the application accepted as complete?
  • Are contracting and credentialing at different stages?
  • What effective date is confirmed in writing?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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