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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