Credentialing & Enrollment Services in Connecticut

CapitalMed Solutions provides expert credentialing and provider enrollment services tailored to healthcare practices across Connecticut—helping you streamline revenue cycles and reduce claim denials.

Why Connecticut Providers Rely on Our Credentialing & Enrollment Services?

Specialists in CT Medicaid (HUSKY Program) Enrollment: We manage enrollment through the Connecticut Medical Assistance Program portal using the Enrollment Wizard via CTDSS MAP (Gainwell Technologies), guiding you through provider type, taxonomy, and fingerprint background checks required by DSS.

Experienced with Connecticut’s Re‑Enrollment & Tracking: Our team handles initial enrollment and assists with re‑enrollment as needed, tracking applications closely—leveraging the Provider Enrollment Tracking tools to avoid pitfalls.

Credentialing for Specialty Waiver Programs: We support agencies applying for services like the CT ABI Waiver, Home & Community Supports, Personal Care, Autism Waivers, and more—facilitating credentialing, document collection, and DSS approvals.

Regional Expertise Across Connecticut: Whether your practice is based in Hartford, New Haven, Stamford, Bridgeport, Waterbury, or Norwich, our services are adapted to meet regional payer expectations and provider-specific enrollment pathways.

Credentialing & Enrollment Services We Offer in Connecticut

At CapitalMed Solutions, a trusted medical billing service company, we support a wide range of healthcare specialties across Connecticut—including Bridgeport, New Haven, Stamford, Hartford, Waterbury, Norwalk, Danbury, New Britain, West Hartford, and Bristol. Our specialty credentialing and payer enrollment services cover anesthesiology, radiology, cardiology, orthopedics, primary care, pediatrics, and more—helping practices statewide gain network participation efficiently.

Whether requirements are national or Connecticut-specific, our experts stay current to ensure accurate applications, timely follow-ups, and compliant provider enrollment. As a trusted Medical Billing Services Company in Connecticut, we deliver customized credentialing solutions for each specialty—reducing delays, preventing denials, and streamlining your revenue cycle.

Our Credentialing & Enrollment Process in Connecticut

Assess provider type (e.g., physician, APRN, PA, FQHC, waiver provider) and determine required taxonomy and risk-level screenings.

Gather NPI, state professional license, DEA (if applicable), malpractice, taxonomy info, and waiver program credentials.

Complete CT Medicaid enrollment via the CTDSS MAP Enrollment Wizard and submit applications and required documentation (e.g., fingerprint checks, taxonomy).

Manage credentialing requirements for waiver programs (e.g., ABI, CFC, Autism services) including documentation and DSS liaison.

Monitor application status using online tools and provider assistance support, proactively handling any requested follow-up.

Confirm Medicaid paneling, provider IDs, EDI/EFT setup, and billing readiness.

Support periodic re-enrollment workflows to ensure continuity of billing privileges.

Benefits of Choosing Us for Credentialing Services in Connecticut

  • Faster Enrollment & Approval: Simplified submission through the CTDSS Enrollment Wizard cuts processing delays.
  • Reduced Administrative Load: Our team handles all credentialing steps so your staff can focus on patient care.
  • Waiver Program Readiness: Supported credentialing for specialty services, expanding your service scope.
  • Streamlined Tracking: Proactive monitoring avoids gaps and lapses in Medicaid enrollees.
  • Better Revenue Flow: Cleaner claims and greater panel access contribute to improved cash flow.

Major Insurances Companies

Insurance Networks We Work With for Credentialing in Connecticut

At CapitalMed Solutions, we partner with major insurance carriers across Connecticut to ensure seamless provider credentialing and faster payer enrollment. Our relationships with leading payers help healthcare professionals get credentialed efficiently, stay compliant, and serve more patients with confidence.

humana Credentialing & Enrollment Services in Connecticut
aetna Credentialing & Enrollment Services in Connecticut
Cigna Credentialing & Enrollment Services in Connecticut
United Health Care Credentialing & Enrollment Services in Connecticut
Medicare-Logo Credentialing & Enrollment Services in Connecticut
HUSKY Health Credentialing & Enrollment Services in Connecticut
Wellcare Credentialing & Enrollment Services in Connecticut
OHP Credentialing & Enrollment Services in Connecticut
ConnectiCare Credentialing & Enrollment Services in Connecticut
BCBS Credentialing & Enrollment Services in Connecticut

Ready to simplify credentialing in Connecticut?

Reach out to our credentialing team today to efficiently manage your Medicaid, waiver program enrollment, and provider paneling—ensuring clean claims and faster billing across Connecticut’s payer network.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478