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Medical Administration

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  • Continuing Care Facility - Advisory Committee

    In this section we house all Advisory Committee Meeting Minutes. Click the link to view all minutes pertaining to the Advisory Committee.

  • Continuing Care Facility Reimbursement

    Connecticut's Continuing Care Facilities (CCF), also referred to as Continuing Care Retirement Communities (CCRC), provide shelter and care under the terms of a continuing care contract that detail the housing and care obligations of the CCF as well as the cost of providing such services.

  • Electronic Visit Verification

    The Department of Social Services is proud to announce a unique partnership with Hewlett Packard Enterprise and Sandata Technologies, LLC. in the implementation of Electronic Visit Verification (EVV).

  • Medicaid Access Monitoring Review Plan

    Effective January 1, 2016, the federal Centers for Medicare & Medicaid Services (CMS) adopted regulations at 42 C.F.R. §§ 447.203 and 447.204 that require state Medicaid programs to ensure Medicaid members have access to covered services.

  • Medicaid Hospital Reimbursement

    The Office of Reimbursement and Certificate of Need (CON) is responsible for establishing Medicaid reimbursement methodologies for inpatient services, outpatient hospital services, Disproportionate Share Hospital (DSH) payments and hospital supplemental payments.

  • Medicaid Hospital Reimbursement - Reimbursement Modernization

    The Department of Social Services is committed to modernization of the hospital reimbursement system.

  • Medicaid State Plan Amendments

    Current State Plan Amendments submitted to the Centers for Medicare & Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS).

  • Reimbursement and Certificate of Need - (CON)

    The Department of Social Services is responsible for the Certificate of Need (CON) process for nursing homes, residential care homes and intermediate care facilities for individuals with intellectual disabilities.

  • Reimbursement and Certificate of Need - Federally Qualified Health Center (FQHC)

    The primary purpose of Federally Qualified Health Centers is to expand access to primary health care for uninsured and underserved populations, who experience financial, geographic or cultural barriers to care and who live in or near federally designated health professional shortage areas (HPSAs) and medically underserved areas (MUAs).

  • Reimbursement and Certificate of Need

    The primary functions of Reimbursement and Certificate of Need (CON) include establishment of payment rates for medical and residential care services, cost report auditing, and performing certificate of need reviews for nursing facilities, residential care homes, and ICF/MR development projects. Cost based rates are issued on an annual basis by the unit for services including hospitals, nursing facilities, home health care, clinics, and community residences for the elderly and disabled; as well as state-operated psychiatric hospitals, ICF/MR and federal Medicaid waiver services.