Provider Payments and Denials

Responsibility
CCC Care Managers create care plans including paid/in-kind services.

Process
Service Orders are created internally and then converted to Prior Authorization (PA). The PA is uploaded to CTDSSMAP within approximately 48 hours and then transmitted to Sandata.

Limitations

• CCC does not control the PA transfer to Sandata and cannot access Sandata.
• CCC cannot access claim information on CTDSSMAP portal. Please do not send us Internal Control Numbers (ICNs).

Payment Denials

For payment denials, contact the primary CCC Care Manager for resolution. If you have not done so already, ask the Care Manager for the “service order number” for your records.

If still unresolved, escalate to the Care Manager’s manager.

For denials older than 6 months: Email ServiceAuthIssues@ctcommunitycare.org.

• Use encrypted email and request encrypted email if you don’t have one.
• Include:
  • Client name
  • EMS #
  • Service order number
  • Service and dates in question
  • Explanation of rejection
• Submit issues as they arise, do not wait.
• Allow time before billing cycle for processing.