Provider Enrollment
Find the tools and information you need to know as a Provider.
SWCAA greatly values the dedication and hard work of our Providers. Please note that provider enrollment is no longer facilitated by the Access Agency.
SWCAA is unable to conduct business with any Provider who does not complete enrollment and re-enrollment as required by the State of Connecticut Medical Assistance Program.
All Providers seeking to enroll or re-enroll in a Connecticut Medicaid Waiver Program—including the Home Care Program for Elders, the Acquired Brain Injury (ABI) Waiver, and the Personal Care Attendant (PCA) Waiver—must follow the link below and select “Provider Enrollment” to access the official instructions.
For questions regarding enrollment, please contact GT Independence at 1-877-659-4500 or email providercredentialing@gtindependence.com and Gainwell at 1-800-842-8840 ctproviderenrollment@gainwelltechnologies.com, the entity responsible for provider enrollment and maintenance.
Once enrollment is confirmed, Providers are added to SWCAA’s provider rotation list.
- Clients choose their preferred providers first.
- Provider rotation is used only when a client does not have a preference.
- SWCAA cannot guarantee a minimum number of referrals.
- Referral frequency may vary and, in some categories with fewer clients, there may be extended periods without referrals.
SWCAA is currently not receiving updated or new provider information from GT Independence. If you are a new provider or a current provider that needs to update information, please complete the form below and attach:
Once all materials are gathered, email the completed form and attachments to: swcaaupdates@swcaa.org
SWCAA’s Role in Provider Payment
SWCAA plays a defined and limited role in the Prior Authorization workflow. Our responsibilities center on client assessment, care planning, and ongoing monitoring—not billing or system management.
How the PA Process Works
For questions regarding enrollment, please contact GT Independence at 1-877-659-4500, the entity responsible for provider enrollment and maintenance.
- Referral: A Care Manager contacts a Provider based on Client preference, or Rotation across more than 300 contracted providers.
- Authorization: The Care Manager enters the PA into SWCAA’s internal system.
- Upload: Information is electronically uploaded to Gainwell within 7 days.
- Transfer: Gainwell forwards PA details to Sandata within 48 hours.
- Activation: Sandata enables scheduling and EVV-related functions.
Important Clarifications & Misconceptions
- The State of Connecticut
- Able to access Sandata or EVV
- Able to view your agency’s information in Sandata
- Able to view Provider billing or claim status in the Gainwell portal
- Able to view Remittance Advice (RA)
- Notified of billing denials unless a Provider reports them
- Able to assist with both the enrollment and reenrollment process
- Provides verbal authorizations
- Enters PA information into the portal within 7 days, as required
- Assists clients in gathering documents for eligibility review.
- (Note: SWCAA does not determine eligibility and cannot expedite State decisions.)
- Issue provider payments
- Interact with or access the Sandata EVV system
- View paid or denied provider claims
- Authorize provider enrollment
- Determine client eligibility
SWCAA Billings & Error Resolution
SWCAA Billings & Error Resolution provides guidance on when and how providers should contact SWCAA for support with Prior Authorizations and billing issues. This resource explains the specific situations in which SWCAA can assist—such as missing PAs, denied claims despite accurate authorizations, or discrepancies between verbal and system-entered PAs—and outlines the required steps for submitting concerns securely. It also clarifies what falls outside SWCAA’s scope and directs providers to the appropriate contacts for system, eligibility, or Sandata-related issues, ensuring that billing questions are handled efficiently and through the correct channels.
SWCAA Billings should be contacted only for specific Prior Authorization (PA) or billing-related issues that fall within our role as the Access Agency. Below are the appropriate scenarios for using swcaabillings@swcaa.org.
If the PA does not appear in the www.ctdssmap.com portal more than 7 days after verbal authorization than submit a completed Provider Issue Request to swcaabillings@swcaa.org via encrypted email.
If the PA appears correctly in Gainwell with a valid PA number, but your claim is denied than email swcaabillings@swcaa.org with a completed Provider Issue Request including:
- Billing error description
- Date ranges
- Supporting details
If Billing errors appear to be related to eligibility, try the following steps first:
- Check the www.ctdssmap.com, search using a full month date range
- Complete the provider issue request form and email to swcaabillings@swcaa.org
Contact the Care Manager immediately. Adjusting a PA impacts all claims tied to that authorization.
For issues outside SWCAA’s control, please use the correct contacts below:
Gainwell Help Desk: 1-800-842-8440
Email ctevv@gainwelltechnologies.com with the Prior Authorization (PA) NUMBER found on the www.ctdssmap.com website.
Email ctevv@gainwelltechnologies.com with the Prior Authorization (PA) NUMBER found on the www.ctdssmap.com website.
Sandata Customer Care: 1-855-399-8050 or ctcustomercare@sandata.com
Gainwell Help Desk: 1-800-842-8440
- Download the SWCAA Billing Form (Provider Issue Request)
- Complete all fields and include the name of the agency on the form
- Send the completed form via encrypted email to: swcaabillings@swcaa.org, the body of the email needs to contain the Provider Name, Contact Name & Information.
Emails must be encrypted. If you already use encrypted email, you can send it directly to us.
If you do not have access to encrypted email, send a message to swcaabillings@swcaa.org with “encryption request” in the subject line. SWCAA will reply with an encrypted message that you can respond to securely.