CT Medicaid Enhanced Provider Enrollment Screening

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physician credentialing

Fingerprint Based Criminal Background Checks

Effective October 13, 2016 the Connecticut Medicaid program will begin requiring fingerprint based criminal background checks (FCBC) for all providers

CT Medicaid provider enrollment

designated as a “high” categorical risk.  The new screening measures will be required for new enrollments as well as re-enrollments (re-validation) for providers and owners with a 5% or more interest in the provider/supplier.

High risk providers may not be required to submit to a fingerprint based background check if all of the following requirements are met:

  • the provider has a current “approved” Medicare enrollment;
  • a positive match between a provider, including their five percent or more owners, applying for Medicaid enrollment against the information in a Medicares’s enrollment record;
  • Medicare’s screening was based on a “high” risk level and FCBCs;
  • Approval by DSS

For any questions, you may contact Marcia Benson at (860) 424-5618 or Cynthia Bastiany at (860) 424-4843 from DSS Provider Relations.

Review the official notice here

About nCred

nCred is a national leader in provider enrollment services offering leading technology and experienced staff to its national client base.  Access to our proprietary web portal with tracking mechanisms and complete transparency of operations is an important part of our key advantage over all competitors.  Contact nCred today to discuss your credentialing needs and how our services can assist your organization.  Call (423) 443-4525 or fill out our request for information form to have a representative contact you.

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