Effective January 1, 2015, the Department of Social Services expanded its coverage of Autism Spectrum Disorder (ASD) evaluation and treatment services for Medicaid enrolled members (HUSKY A, C, or D) under the age of 21 for whom ASD services are medically necessary.
Join our Network – Become an ASD State Plan Provider
The ASD State Plan aims to connect HUSKY A, C, and D members under 21 with appropriate services and supports within their communities, while also teaching behavioral management skills to both the member and their family. By becoming a HUSKY Health provider, you help expand the network and resources for the ASD community. Below are the simple steps toward enrollment and qualification.
Enrollment
Enrollment starts through the enrollment wizard at www.ctdssmap.com, and selecting Provider, then Provider Enrollment. Applications can not be saved as a work in progress, so allow enough time to complete the application. Once submitted, please save your tracking number (ATN) for status updates. Contact the Gainwell Provider Assistance Center for more infomration at 1-800-842-8440.
Qualification
Carelon Behavioral Health of Connecticut (Carelon BH CT) ensures the clinical qualification of all ASD providers. This means, ensuring the provider can work within their scope to provider ASD services to HUSKY Health members. Documentation is required for qualification, resulting in a determination letter. Details on required documentation can be found here: Provider Qualification Outline. Qualification infomration is also sent to Gainwell as part of the enrollment process. Providers may reach out to the Provider Relations Department with any questions at ctbhp@carelon.com, or 1-877-552-8247.
Re-Enrollment
To maintain active status in the HUSKY Health network, all licensed practitioners must continue to comply with enrollment and qualification regulations. This means, re-enrolling and re-qualifing per CMAP (HUSKY Health) standards. BCBA’s re-enroll every two (2) years, and all other behavioral health clinicians re-enroll every five (5) years. Documentation for re-qualification includes active licensure, BACB certification, where applicable, and a DCF Background Check Form update.
Autism Waiver Providers
Qualification for Autism Waiver Provider Solo Practitioners providing behavioral health services are to qualify through Carelon BH CT. All other waiver providers must contact GT Independence at providercredentialing@gtsd.org.
Level of Care Guidelines
Provider Resources
ASD Provider Locator Map
Documents and Forms
- ASD Service Request Template
- Becoming an ASD State Plan Provider
- ASD Release of Information (ROI) Document (English)
- ASD Release of Information (ROI) Document (Spanish)
- ASD State Plan Provider Qualification Outline
- ASD Waiver Outline
- State Plan Autism Services CPT Codes
- ASD Referral Form
Manuals
Telehealth Information
Important ASD Related Alerts and DSS Bulletins
- Provider Bulletin: Autism Spectrum Disorder (ASD) Evaluation and Treatment Services (PB2014-99)
- Provider Bulletin: Autism Spectrum Disorder (ASD) Evaluation and Treatment Services Provided by Medical Clinics, Rehabilitation Clinics and Board Certified Behavior Analysts (PB2015-69)
- Provider Bulletin: New Autism Spectrum Disorder Services (PB2016-47)
- Provider Alert: Process Update for Date Extension and Backdating Requests for Intermediate, Home Based Service and Autism Spectrum Disorder Authorizations
- Provider Alert: Process Update for Administrative Denials Related to Home Based Service and Autism Spectrum Disorder Authorizations
- Provider Alert: Re-Qualification Process for CMAP ASD Providers
- Provider Bulletin: Clarification on Office-Based Care (PB2022-61)
Upcoming Events
Applied Behavioral Analysis (ABA) – Mitigating Risk: Provider Forum – Second Session
Tuesday, June 24, 2025, from 2 p.m. to 4 p.m. Eastern time
Carelon Behavioral Health of Connecticut (Carelon BH CT), Gainwell Technologies, and the Department of Social Services (DSS) invite you to an essential training session focused on empowering autism spectrum disorder (ASD) Medicaid providers to effectively mitigate risks within Applied Behavior Analysis (ABA) services.
In this training, providers will watch a recorded session led by Jerome Chiu, a consultant from RadBx, focusing on risk mitigation within ABA.
A Q&A session will follow, offering the opportunity to ask questions and gain clarification from industry experts.
Select here to register for the forum.
Previous Events
ASD Learning Collaborative: Best Practices in Service Delivery
The Connecticut Behavioral Health Partnership (CT BHP), in collaboration with the Autism Spectrum Disorder (ASD) team at Carelon Behavioral Health CT (Carelon BH CT) is pleased to announce an ASD Provider Learning Collaborative. This collaborative aims to promote best practices in delivering ASD services to HUSKY Health(Medicaid) members, which includes:
- Providing services through telehealth or in-person settings, especially focusing on caregiver involvement.
- Creating a consistent approach for accepting service referrals.
- Highlighting the need for discharge forms that include clinical recommendations when referring members for Care Coordination.
- Ensuring that service authorization is based on the member’s clinical needs, with billing reflecting the actual hours of service provided to the member and their family.
Before the collaborative begins, please review the relevant policies and bulletins regarding the ASD State Plan Services. ASD Learning Collaborative Materials
ASD LEARNING COLLABORATIVE: BEST PRACTICES IN QUALITY ASSURANCE & AUDIT PROTOCOLS
The Connecticut Behavioral Health Partnership (CT BHP) in collaboration with the Autism Spectrum Disorder (ASD) team at Carelon Behavioral Health CT (Carelon BH CT) is pleased to announce an ASD Provider Learning Collaborative. This collaborative will focus on ensuring best practices when providing ASD services to HUSKY Health members, including the Carelon BH CT chart review process, the Department of Social Services (DSS) Audit protocol and regulations, and standards of care presented by the Autism Commission on Quality. This collaborative will include representation from the Department of Children and Families (DCF), the Department of Social Services (DSS), the Department of Developmental Services (DDS), Gainwell Technologies and Carelon BH CT.
ASD LEARNING COLLABORATIVE: BECOMING AN ASD PROVIDER
The Connecticut Behavioral Health Partnership (CT BHP) in collaboration with the Autism Spectrum Disorder (ASD) team at Carelon Behavioral Health CT (Carelon BH CT) is pleased to announce an ASD Provider Learning Collaborative. This learning collaborative will focus on becoming an ASD Enrolled Provider, including steps toward qualification, enrollment, and affiliation. The presentation will also include guidance on re-enrollment. This Learning Collaborative will include representation from the Department of Children & Families (DCF), the Department of Social Services (DSS), the Department of Developmental Services (DDS), Gainwell Technologies, and Carelon BH CT.
THE INTEGRATION OF TREATMENT FOR NEURODIVERSE YOUTH AND YOUNG ADULTS
Friday, December 8, 2023
This virtual professional forum explores the integration of treatment for neurodiverse youth and young adults. This presentation will examine neurodiversity, the diagnoses of intellectual disability and autism spectrum disorder, and eligibility criteria for services provided by the Connecticut Department of Developmental Services (DDS). It will also review inclusive and sensitive treatment approaches for this population and present a personal story touching on mental health,
autism, and a life of advocacy.
Important Links and Contacts for ASD Providers
- CT Behavioral Health Partnership: 1-877-552-8247 Fax: 1-855-901-2493 CTBHP@carelon.com
- Department of Social Services (DSS): http://www.ct.gov/dss
- Department of Children and Families (DCF): http://www.ct.gov/dcf
- Department of Mental Health and Addiction Services (DMHAS): http://www.ct.gov/dmhas
- Department of Developmental Services (DDS): http://www.ct.gov/dds
- Gainwell Technologies: www.ctdssmap.com, ctproviderenrollment@gainwelltechnologies.com, 1-800-842-8440