Check ID cards and go to connecticare.com to check eligibility

We have started to issue new member ID numbers and cards to commercial members. We will complete roll-out of the new member ID numbers for all our commercial plans on or about Jan. 1, 2021.

The new ID numbers start with the letter “K” followed by a 10-digit number. View a sample here. Please note the new commercial member ID numbers are similar to the member ID numbers of our Medicare Advantage members. But Medicare Advantage ID cards clearly note the member has a Medicare Advantage plan.

Check ID cards and ID numbers for all commercial patients at every visit and sign into our provider website to verify eligibility.

Make sure to use the new ID numbers for dates of services on and after Aug. 1, 2020.

A reminder about advising patients on Medicare plan enrollment

The Centers for Medicare & Medicaid Services (CMS) reminds health care providers that they should remain neutral when discussing Medicare and Part D plans with their patients. The Medicare annual enrollment period (AEP) for 2021 plans starts Oct. 15, 2020 and ends Dec. 7, 2020.

Providers may:

Providers should not:

Providers who violate these regulations could face penalties up to and including termination of their contract with Medicare and Part D plans and plan sponsors.

If you have questions about discussing Medicare enrollment with your patients, please contact your network account manager.

Anticipate prescription drug questions from Medicare members

ConnectiCare will soon notify members in our Medicare Advantage plans of changes to their prescription formularies for 2021. Please support your patients who may be affected by:

Updated ambulatory surgery centers grouper policy

We have updated our Payment Policy: ASC Grouper 2020 (Commercial) to include new codes effective July 1, 2020.

Ambulatory surgical groupers will be paid according to surgical contracted rates when billed with revenue codes 360 or 490. If surgical services are billed with revenue codes other than 360 or 490 and the claims contain charges for anesthesia and/or recovery room, claims will be paid according to the surgical contracted rates unless otherwise negotiated.

Medical policy criteria updated for bone mineral density studies

We have updated our medical policy criteria for bone mineral density studies, effective Sept. 1, 2020. This policy applies to our commercial plans.

Our care management team is here to help you care for your patients

Our care management team supports your efforts to provide quality, coordinated and integrated care to your patients — our members. The team includes nurses, care navigators, certified diabetes educators, and others, who can help members who have complex or chronic conditions that require coordination of services and periodic monitoring.

Care managers can:

Reasons you might refer a patient to care management:

How to refer a member to care management:
Simply call us at 1-800-829-0696.

Please note, when health care management decisions are made, they are based on the member’s benefit plan and the appropriateness of the proposed health care treatments, drugs and supplies for that member. We do not reward practitioners or other individuals conducting utilization review for issuing denials of coverage for health care treatments, drugs, and supplies. We offer no incentives to promote decision making that would result in inappropriate denials of services that would result in underutilization. We also do not use employee incentives or disincentives to encourage barriers to care and service.

ConnectiCare in the community

ConnectiCare recently made additional donations to FoodShare and the Connecticut Food Bank to provide a total of more than 330,000 meals. We’re also supporting Healing Meals, a Bloomfield-based organization that helps provide healthy organic meals to people experiencing a health crisis. Our donation will help provide more than 4,000 meals to patients and their families and support Healing Meals' youth program as they prepare meals with guidance from an executive chef and adult mentors.

ConnectiCare also made a generous financial donation and will continue its long partnership with the American Red Cross to help ensure adequate blood supply throughout the state.