Health Services

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• New State HUSKY A and HUSKY B for Children Health Coverage

• Primary Care Redesign

  The Department is conducting an evaluation and development of primary care, by engaging stakeholders. The stakeholder group is called The Primary Care Program Advisory Committee and is made up of a diverse group of stakeholders such as providers and CEOs, that represent the non-federally qualified health centers and federally qualified health centers that serve our members. The links for the recordings of the live meetings, slide decks, and meeting minutes are available on the webpage.

• COVERED CONNECTICUT PROGRAM

• 340B-Workgroup

  Workgroup for the Prescription Drug Pricing Program Pursuant to Section 340B of the federal Public Health Service Act

• DSS Work Groups

• 1115 Justice-Involved Demonstration Waiver

• Reimbursement Home and Community-Based Services (HCBS)

• 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.

• Connecticut Integrated Care for Kids

  The InCK Model will assist states and local communities in addressing priority health concerns for children.

• Long-Term Services and Supports - LTSS

  Governor Dannel P. Malloy, joined by Department of Social Services Commissioner Roderick L. Bremby and Office of Policy and Management Undersecretary Anne Foley, announced the release of Connecticut’s Strategic Plan to Rebalance Long-Term Services and Supports, including a town-by-town projection of Connecticut’s long-term care needs and strategies to meet those needs, on January 29, 2013.

• Residential Care Homes (RCH)

  Connecticut Residential Care Homes rates are set in accordance with state regulation. Cost reports for privately operated facilities are also used for rate setting purposes.

• Medicaid Nursing Home Reimbursement Modernization Acuity Based Methodology

  The Connecticut Department of Social Services (DSS) will be transitioning nursing facility reimbursement from a cost-based methodology to a prospective acuity-based or case mix, payment system. Visit this webpage for more information.

• 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.

• Durable Medical Equipment (DME) Medicaid Reimbursement

  The Department is revisiting reimbursement rates for Durable Medial Equipment (DME) to comply with federal regulations.