Sample notices of appeal are. found in FORMS (pages 13 and 14). Along with the notice of appeal, you will generally file these additional documents: a. pre-calendar statement, a copy of the order or judgment appealed from, any decisions. the order or judgment is based on, and an affidavit of service.
Accessing the Medicaid Interactive Web Portal. A secure logon to the Medicaid Interactive Web Portal is required to access the new attachment option. For new providers, Medicaid will send a letter containing a personal identification number (PIN) and other information on how providers can access the Portal.
Consideration is always given to the unique needs of a given. individual. NOTE: EPSDT Special Provision. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) is a federal Medicaid requirement that. requires the Connecticut Medical Assistance Program (CMAP) to cover services, products, or procedures. for Medicaid enrollees under 21 years of age where the service or good is medically necessary health.