Medicaid Enrollment Re-enrollment

Enrollment (Sample Screen Shots for New Providers)

Link to website for enrollment application

https://www.ctdssmap.com/CTPortal/Provider/Provider-Enrollment

Re-enrollment (Sample Screen Shots)

Re-enrolling Providers

Link to website for re-enrollment application

https://www.ctdssmap.com/CTPortal/Provider/Provider-Re-Enrollment

Accessing ATNs for Re-Enrollment