Welcome to Connect to Care by CMSP
Provider/Member Quick Guide
Starting December 1, 2020, the Connect to Care Program by CMSP expands access to primary care and preventive services to eligible uninsured adult residents of one of CMSP’s 35 counties. The mission of the program is to improve health outcomes and enable contracting Community Health Centers to enroll new members.
(Complete Website coming soon!)
to view or download a copy of the Connect to Care Provider Operational Manual
for program information including claims submission.
Providers must be contracted with CMSP to be paid for Connect to Care
covered services. For information about becoming a CMSP contracted Provider, please call (888) 614-0846.
to view or download a copy of the Connect to Care Member Guide
for more program information.
Who is Eligible
: Uninsured adult (21-64 years old) residents of CMSP counties in the income range of over 138% FPL (Federal Poverty Line) and up to 300% FPL.
How to Enroll
: Participating Community Health Centers will register eligible participants for a six-month eligibility period though a secure registration/enrollment portal.
For enrollment support and questions, please contact the Connect to Care
Enrollment Help Desk at (800) 548-5880.
: Eligible members will receive an ID card with a Member Guide in the mail AMM, Connect to Care
Administrator, following their enrollment approval.
: Approved Outpatient Primary and Preventative Services delivered by a CMSP Contracted Provider. Inpatient and Emergency Services are not covered under the Connect to Care
For more detailed information on covered services, click here
or call (888) 614-0846.
Pharmacy Benefits and Claims
|Primary care or specialist office visits
||Screenings for HIV, HPV, Hepatitis B & C, STI Screenings
|Routine screening laboratory testing
||Screening for depression, alcohol misuse, obesity counseling (performed by a physician)
|Prescription medications with a $5 copay per prescription (up to $500 per claim and $1500 maximum benefit limit)
||Preventative health screenings
|Various in-office minor medical procedures
||EKG, Osteoporosis, DEXA Scan
|Specified X-rays of head, neck, chest, trunk, upper and lower extremities
||Colorectal cancer screening
Tobacco use counseling and intervention
(performed by a physician)
: Connect to Care
pharmacy claims are process by MedImpact (PCN/Group No. 50145). For more information, please call MedImpact at (800) 788-2949.
For a copy of the Connect to Care drug formulary, please visit Connecttocare@cmspcounties.org.
|Acupuncture, including podiatry-related acupuncture services
||Methadone maintenance services
|Breast and cervical cancer treatment services when covered by other coverage
||Optometry services and eye appliances
Public transportation, such as airplane, bus,
car or taxi rides
||Pregnancy-related and infertility services
Services by a Psychologist, LCSW, MFT or substance use disorder counselor
|Family planning services when covered by another coverage (F-PACT)
||Any medical service not provided by a contracted CMSP Connect to Care provider
Any Other Questions: Please call Connect to Care Customer Service at (888) 614-0846