Care Management Department
*If you are interested in enrolling as a provider for one of these programs, please visit this state of Connecticut website.
To our valued providers: Please use this form when requesting support on a billing issue. This will ensure we get the needed information, so that our staff can resolve issues in the most-timely way possible.
You will need to save this form to your computer and submit encrypted to email@example.com or fax to (866) 644-1929. Reminder: protecting confidential client data with email encryption is the responsibility of the sender.
Request Form - please be sure to complete all information.
Before submitting your request, please confirm that the client resides in one of the towns listed below.
Here are instructions that will help you in reviewing billing rejections.
Direct Provider Line - 203-752-3040, option 5
Contact information for CHC Care Managers and Team Coordinators by area:
Central Team: Hamden, North Haven, Wallingford, New Haven
Eastern Team: Branford, Chester, Clinton, Deep River, East Haddam, Essex, Guilford, Haddam, Ivoryton, Killingworth, Madison, North Branford, Northford, Old Lyme, Old Saybrook, Westbrook, New Haven
Northern Team: Cromwell, Durham, East Hampton, Higganum, Meriden, Middlefield, Middletown, Moodus, Portland, Rockfall, New Haven
Western Team: Ansonia, Bethany, Derby, Milford, Orange, Seymour, Shelton, West Haven, Woodbridge, New Haven
Director of CT Home Care Program for Elders
General questions regarding CHCPE, including referral process and program qualifications
Director of Transitional Programs
General questions regarding MFP, PCA Waiver and Community First Choice (CFC), including referral process and program qualifications
Provider Relations Specialist
Questions regarding, service authorization rejections and incorrect service authorizations