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How to Become a Provider



New providers interested in establishing a contract with SWCAA must complete the   Provider Questionnaire and return the questionnaire with all attachments to:

Bill Schempp

Southwestern CT Agency on Aging, Inc.

10 Middle Street, 9th FL

Bridgeport, CT 06604

Questions?  Contact Bill Schempp at 203-814-3645 


Upon review of the Provider Questionnaire we will schedule a meeting to discuss your participation in CT Home Care Program.

Select the link below to access the enrollment forms:

Connecticut Medical Assistance Program Enrollment

Additional information regarding the requirements for providers for the state of Connecticut is available at the following Connecticut Department of Social Services.


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