FAQs - Preferred Provider Network (PPN)
How do I apply for a new PPN License or renew an existing license?
- First, apply for a new or renewal PPN license at: www.NIPR.com.
- For a new license, under Licensing Center, click on “Apply for a New License”.
- To renew an existing license, under Licensing Center, click on “Renew an Existing License”.
- After submitting the NIPR online application through NIPR:
- Please complete the following Preferred Provider Network (PPN) supplemental form.
- Next, please submit the PPN supplemental form and required documents to cid.tpa@ct.gov, Attn: PPN.
I am renewing an existing PPN license. Do I have to provide the same documents a new applicant provides?
- Yes. The documentation requirements for new and renewal PPN licenses are identical.
I provided a particular document to the Department in a previous year. Do I have to provide it again?
- Yes, unless you previously provided the documents through the NIPR warehouse from a previous year. You will want to review the checklist located on the “PPN supplemental form” for a list of documents that need to be refreshed annually.
Can a PPN license be issued pending receipt of required documents?
- No. All required documentation must be provided before any application will be reviewed.
- If you have an existing PPN license, you must submit both the NIPR application and the PPN supplemental form and required documentation prior to the expiration date. The PPN license expires on 6/30 each year if all requirements are not submitted to the Department prior to the expiration date.
Where can I print a copy of my PPN License?
- Go to SBS, select “Print License.”
Where can I review Connecticut’s Statutes pertaining to PPNs?
- You may review the applicable Statutes here C.G.S. §38a-479
Does this license type require a bond?
- Each PPN shall maintain or arrange a letter of credit, bond, surety, reinsurance, reserve or other financial security acceptable to the CID for the exclusive use of paying any outstanding amounts owed participating providers in the event of insolvency or nonpayment except that any remaining security may be used for the purpose of reimbursing managed care organizations. Such outstanding amount shall be at least an amount equal to the greater of (1) an amount sufficient to make payments to participating providers for four months determined on the basis of the four months within the past year with the greatest amounts owed by the PPN to participating providers, (2) the actual outstanding amount owed by the PPN to participating providers, or (3) another amount determined by the CID.
I have additional questions. Who can I contact?
- Contact us at cid.tpa@ct.gov, Attn: PPN.