Network description:
PCPs – 869
Specialists – 2,641
PCDs – 166
Dental Specialists – 92
Hospitals – 26
DME
Providers – 28
Home Health Agencies – 44
Labs - 5
Pharmacy benefit and management:
Caremark. Closed formulary for Medicaid Managed Care & SCHIP.
Generic fill at 56.2%, dispensing 97% substitution.
TPA/Information systems:
CHNCT uses the CSC Healthcare, Inc. (PowerStepp) system.
History of the organization:
Community Health Network of Connecticut, Inc. was established in
1995 as a not-for-profit 501(c)4 corporation and is sponsored by
seven FQHCs. CHNCT’s sponsor FQHCs bring over 30 years of
continuous services to CT’s Medicaid population.
CHNCT was re-certified by CT’s Department of Social Services
in 1999 to continue participation in the Title XIX (HUSKY A)
program. Likewise, CHNCT was selected in 1998 to launch CT’s
Title XXI (HUSKY B) program. We are currently one of four MCOs
participating in HUSKY A and one of three plans in HUSKY B.
Three major challenges the organization faces during 2005:
1. Adequate premiums from Department of Social Services. 2.
Implementing the Mental Health carve-out. 3. Controlling
pharmacy costs. |
