Home infusion claims update

As previously communicated, and effective for dates of service beginning April 1, 2023, CarePartners of Connecticut is insourcing claims pricing and processing for home infusion services. CarePartners of Connecticut will apply edits in our processing systems in accordance with our policies and procedures, and industry standard edits. Currently, home infusion claims for the products noted above are submitted to CVS Health-Novologix.

• For home infusion services with dates of service prior to April 1, 2023: Providers may continue to submit these claims to Novologix until June 30, 2023. You will have viewing access with Novologix to check the status of claims through July 1, 2023.
• For home infusion services with dates of service of April 1, 2023 and beyond: Providers should submit these claims to CarePartners of Connecticut and should bill using industry standard HCPCS codes to ensure claims are processed accurately.

Claims filing limits still apply. Claims for professional or outpatient services must be received by CarePartners of Connecticut within 60 days of the date of service, or within 60 days of the date of hospital discharge for inpatient or institutional services. For the fastest processing, we encourage electronic claims submission; alternatively, you can mail claims directly to CarePartners of Connecticut at:

CarePartners of Connecticut
P.O. Box 518
Canton, MA 02021