← All payers

Check eligibility on Medicaid CT. Payer ID CTMCD

Medicaid CT

Medicaid Connecticut logo
Primary payer ID
Compare transaction IDs ↓
Last successful claim statusWithin the past monthObserved across Substrate's claim-status network.
Claim statusSupportedEDI 276/277EligibilityAvailableEDI 270/271

Coverage profile

Work Medicaid Connecticut across every published route

Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with Medicaid Connecticut.

Supported

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Medicaid Connecticut.

Available

Other aliases

Also known as

  • 06127
  • 061274678
  • 10067
  • 12K04
  • 61274678
  • CKCT1
  • CTCAID
  • CTDSSMAP
  • CTMCD
  • SKCT0
  • CTDSS
  • Connecticut Department of Social Services
  • Connecticut Home Care Program for Elders (CHCPE)
  • Connecticut Medicaid
  • Connecticut Medical Assistance Program
  • HUSKY Health Connecticut
  • MEDICAIDCT

2027 maternity billing research

When does Medicaid Connecticut change OB/GYN billing?

Confirmed 2027 guidance

Provider Bulletin 2026-44 keeps two antepartum delivery timings. Effective for dates of service September 1, 2026 and forward, with a delivery date anticipated after December 31, 2026, all antepartum visits must be billed with the appropriate E/M procedure code. Starting in September, antepartum care will be billed with one of the applicable E/M codes for all deliveries that are anticipated to occur prior to December 31, 2026. Modifier TH must be listed on the antepartum detail for dates of service September 1, 2026 and forward. Maternity care providers will continue to bill existing procedure codes for labor, delivery, and postpartum care when delivery occurs prior to January 1, 2027. Phase 2, effective January 1, 2027, says new labor management and delivery codes will be added to fee schedules and does not list them. Maternity bundle participants continue PB 2025-66.

Transition start
2026-09-01 — Phase 1 antepartum E/M billing
Billing start
2027-01-01 — Phase 2 labor and delivery codes to be added; codes not listed
Published
August 2026
Current As Of
October 2026

Scope: Connecticut Medical Assistance Program providers named in Provider Bulletin 2026-44, including physicians, physician assistants, APRNs, certified nurse-midwives, family planning clinics, FQHCs, and outpatient hospitals.

Provider Bulletin 2026-44: Maternity Care Service Billing Guidance: Antepartum Care. Verify the payer source before claim submission.

Frequently asked questions

Medicaid Connecticut payer FAQs

How do I check claim status with Medicaid Connecticut?

Providers check Medicaid Connecticut via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for Medicaid Connecticut?

The primary payer ID for Medicaid Connecticut is CTMCD. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for Medicaid Connecticut?

The 837P and 837I payer ID for Medicaid Connecticut is CTMCD via Stedi.

What is the 835 payer ID for Medicaid Connecticut?

The 835 payer ID for Medicaid Connecticut is CTMCD via Stedi.

What is the 270 payer ID for Medicaid Connecticut?

The 270 payer IDs for Medicaid Connecticut are CTMCD via Stedi and CTMCD via Availity.

What is the 276 payer ID for Medicaid Connecticut?

The 276 payer IDs for Medicaid Connecticut are CTMCD via Stedi and CTMCD via Availity.

What state does Medicaid Connecticut operate in?

Medicaid Connecticut operates in CT.

Routing reference

Medicaid Connecticut payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Medicaid Connecticut payer name, operating states, and transaction-specific payer IDs
Payer nameMedicaid ConnecticutSource: Substrate payer directory · data last changed
Operating statesCTSource: Substrate payer directory · data last changed
837P professional claims payer IDStediCTMCDEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
837I institutional claims payer IDStediCTMCDEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
835 ERA payer IDStediCTMCDEnrollment requiredSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDStediCTMCDSource: Stedi payer catalog · catalog dated · matched by payer ID
270 eligibility payer IDAvailityCTMCDEnrollment requiredSource: Availity payer catalog · catalog dated · matched by payer ID
276 claim status payer IDStediCTMCDSource: Stedi payer catalog · catalog dated · matched by payer ID
276 claim status payer IDAvailityCTMCDEnrollment requiredSource: Availity payer catalog · catalog dated · matched by payer ID

Routing sources and verification

  • Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .Open payer website ↗
  • Stedi payer catalogMatched by payer ID; matched record: Medicaid Connecticut. Source dated .PrimaryPayerId is used as the transaction payer ID when the corresponding Stedi support flag is true.Open current Stedi reference ↗
  • Availity payer catalogMatched by payer ID; matched record: MEDICAID CONNECTICUT. Source dated .The attached API workbook supplies 270 and 276 payer IDs only. It does not supply 837P, 837I, or 835 IDs.Open current Availity reference ↗
  • United Clearinghouse payer catalogMatched by payer name; matched record: Medicaid Connecticut. The source did not provide a publication date.The attachment supplies payer names and states only; it does not contain transaction-specific payer IDs.Open current United Clearinghouse reference ↗

Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.