Agency on Aging

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 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. 

Contact List

Direct Provider Line - 203-752-3040, option 5

Contact information for Connecticut Home Care Staff
Contact information for MFP, PCA Waiver and Community First Choice (CFC) Staff

Contact information for CHC Care Managers and Team Coordinators by area:

Central TeamHamden, 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

Intake Team


Melanie Gale
Director of CT Home Care Program for Elders 203-752-2952

General questions regarding CHCPE,  including referral process and program qualifications

Dee Sepulveda
Director of Transitional Programs 203-752-2142

General questions regarding MFP, PCA Waiver and Community First Choice (CFC), including referral process and program qualifications

Shantelle Graham
Provider Relations Specialist  

Questions regarding, service authorization rejections and incorrect service authorizations