Med-Connect (Medicaid for Employees with Disabilities)--How To

Med-Connect (Medicaid for Employees with Disabilities)

How to Apply for MED-Connect:

• To apply online, please visit www.connect.ct.gov Opens in a new window Opens in a new window Opens in a new window and click on ‘Apply Now’ in the ‘Apply for Benefits’ box. We recommend applying online for fastest service.

• To apply with hardcopy application, you can download the ‘W-1E’ application:
Eligibility Determination Document (W-1E) with Instructions (6,258KB) Versión en Español
Please see page 2 of the application instructions for mailing address. You can also drop the completed application at any DSS Field Office.