Connecticut's Health Information Exchange

*please note, information regarding CONNIE and implementation for behavioral health providers is ever changing. CTAMFT continues to try to update this page regularly; but this page should be used as a reference and not your only source of information. 

What do MFTs need to know?

Connecticut law (CGS §17b-59e) requires that, by May 3, 2023:

(1) each health care provider with an electronic health record system capable of connecting to, and participating in, [Connie] shall apply to begin the process of connecting to, and participating in [Connie]


(2) each health care provider without an electronic health record system capable of connecting to, and participating in [Connie] shall be capable of sending and receiving secure messages. 

For additional information regarding CONNIE, please visit the CONNIE website:

For an ongoing updated blog, by privacy and healthcare attorney Dena Castricone:


What does it mean to be compliant with the law?

To remain compliant with the law, all licensed providers must, on or before May 3rd, 2023, begin the connection process with CONNIE. This can be done by completing the CONNIE connection form here

I haven't heard anything about CONNIE, nor have I been contacted by CONNIE. Does this mean I am exempt? 

CONNIE has indicated they have reached out to providers about connecting. CTAMFT is aware many providers are reporting they have yet to hear about or be contacted by CONNIE. Regardless of whether or not you are contacted by CONNIE, as a licensed provider you are required to know and follow the law. This means you will need to comply with the law mandate to start the process of connecting by May 3rd, 2023. 

What does the process look like?

The process has several steps and requires providers sign legal documents. CTAMFT recommends careful consideration before signing these documents, as many are legal documents. We recommend you consult with legal counsel should you have concerns or need additional support determining best steps for you and your practice. 

How do I know if my EHR is compatible? (and what to do if it is not)

Many of the common EHR systems of therapists (Simple Practice, Therapy Notes, etc.) are not listed under Connie's compatible/connected systems. To see the list, click here

At this time, OHS/CONNIE is requesting for providers to contact their EHR systems to request they make appropriate changes to connect with the system. Our understanding is that this is a request, but not a requirement for your EHR system to be compatible by the May 3rd deadline. 

For those who's EHR remains incompatible/unable to connect with CONNIE, it is our understanding you will be treated as a provider "without an electronic health record system capable of connecting to, and participating in CONNIE". This does not mean you are exempt from complying with the mandate.

Any provider in this category must have (or implement) the capability to send and receive secure messages. These providers will need to set up a direct email address through CONNIE to meet the connection requirements and to communicate information with other providers. Providers without an EHR will NOT be required to transmit records to CONNIE.

What does this mean for my records?I'm worried about client confidentiality/HIPAA. 

We are too! Which is exactly why CTAMFT has been participating in meetings with OHS and other interdisciplinary workgroups to help identify and address concerns. Currently CTAMFT has participated in a joint effort to request a delay in the implementation for mental health providers until these concerns are addressed and questions are answered. Until we hear otherwise, we must assume the May 3rd, 2023 date is the date in which one needs to be in compliance. 

How are MFT records protected?

CTAMFT recommends taking a conservative approach to sharing any information in CONNIE. According to current state statutes related to HIPAA, LMFTs must obtain consent from patients before disclosing records for treatment purposes. 

What happens if I don't comply?

CTAMFT is unsure of the consequences from non-compliance. However, OHS has indicated this may be tied to licensure. This means, for providers who have not complied with the mandate, they may experience difficulty or an inability to renew their license. Again, there have been no clear answers to what happens if you do not comply. 

What should I tell my clients? 

This should be an individual practitioner/practice and client decision. What we do know is clients/patients either opt fully in or fully out of CONNIE. This means, clients cannot choose what information is shared amongst providers. Either all providers in the CONNIE system can exchange information on a patient or none of that patients information is shared in CONNIE. Clients will need to make a decision that is best for them; however you/your practice cannot make the decision to not participate to the extent in which you qualify. 

CTAMFT efforts related to CONNIE

  • CTAMFT Chair, Rebecca Ruitto, LMFT and CTAMFT Advocacy Chair, Jaime Rodriguez have met with OHS (Office of Health Strategy) and other mental health associations to identify and discuss provider concerns related to CONNIE. 
  • CTAMFT has collaborated as part of an Interdisciplinary Workgroup, asking for a delay in the implementation timeline until provider concerns were addressed. A copy of the letter can be found here