Help Us Keep Directory Information Up to Date

The Centers for Medicare & Medicaid Services and other regulatory bodies, as well as the federal No Surprises Act of 2021, require health plans to maintain and update data in provider directories — and we rely on providers to review their data and notify us of changes as they happen to ensure that members have access to accurate information.

Be sure to notify CarePartners of Connecticut of any changes to your practice or billing address, panel status, phone number, and list of covering providers. Please confirm current practice information using the Doctor Search. If the information listed is incorrect, update it as soon as possible by completing the Provider Information Change Form and returning it to CarePartners of Connecticut by email (provider_information_dept@tufts-health.com), as noted on the form.

Later in 2022, CarePartners of Connecticut providers will be able to review and maintain up-to-date provider directory information through CAQH ProView, and we will provide additional information about using that tool to update provider directory information in future issues of the newsletter.

Consistent with provisions related to the federal No Surprises Act of 2021, failure to review and update demographic information at least quarterly may result in suppression from CarePartners of Connecticut’s Provider Directory until the information is validated. In addition, if CarePartners of Connecticut identifies potentially inaccurate provider information in the directory, we may outreach to your practice to validate or obtain accurate information. If we are unable to obtain a timely response, the provider’s applicable location may be subject to suppression in the directory until up-to-date information is received. Thank you for your assistance in helping to keep your provider data up to date for members.