Notice of Intent to Renew the Employment and Day Supports Medicaid Waiver
In accordance with the provisions of section 17b-8(c) of the Connecticut General Statutes, notice is hereby given that the Commissioner of Social Services intends to renew the Employment and Day Supports Medicaid waiver to be effective April 1, 2021. This waiver is operated by the Department of Developmental Services and is designed to support individuals with intellectual disability who live with family or in their own homes and require career development, supported employment or community-based day supports, respite, and/or behavioral supports to remain in the community.
As part of the renewal application, the Department of Social Services and the Department of Developmental Services are proposing the following changes to the Employment and Day Supports Medicaid waiver:
- Differentiating Transitional Employment Services from Prevocational Services in the waiver and modifying their definitions to match those used in the Individual and Family Supports and Comprehensive waivers. Prior to this renewal, Prevocational Services was incorrectly listed as an alternate service title to Transitional Employment Services, rather than as a separate service.
- Modifying and aligning performance measures to ensure consistency across all Connecticut Medicaid waivers, including those revisions requested by the Centers for Medicare & Medicaid Services (“CMS”); and
- Technical and administrative clarifications, including those revisions requested by CMS.
No current enrollees will be negatively impacted by the changes proposed in the application.
All written comments regarding these applications must be submitted by Friday, November 27, 2020 to: Tammy Venenga, 460 Capitol Avenue Hartford, Connecticut, 06106, or via email at Tammy.Venenga@ct.gov.
Notice of Intent to Amend the Personal Care Assistant Medicaid Waiver
In accordance with the provisions of section 17b-8 of the Connecticut General Statutes, notice is hereby given that the Commissioner of the Department of Social Services (DSS) intends to amend the Personal Care Assistant (PCA) waiver and proposes to add two additional services.
DSS proposes to add Personal Emergency Response Systems (PERS) and Home Delivered Meals (MOW) to the PCA waiver because these services are not currently available to individuals who opt for agency-based PCA services under the PCA waiver. These two services are currently available to persons who are self-directing their PCA Services under the 1915k state plan Community First Choice Option. By adding PERS and MOW to the PCA waiver, the services would be available to all individuals on the PCA waiver regardless of whether they choose to self-direct their PCA services or opt for agency-based PCA services.
The Department will be requesting a retroactive effective date of 10/1/19 to add these services.
Notice of Intent to Renew the CT Home Care Program for Elders Medicaid Waiver and the 1915(b)-4 Selective Contracting Program
In accordance with the provisions of section 17b-8 of the Connecticut General Statutes, notice is hereby given that the Commissioner of the Department of Social Services intends to renew the CT Home Care Program for Elders Medicaid Waiver and the 1915(b)-4 Selective Contracting Program effective 7/1/20. The 1915(b)-4 allows the state to select providers of care management under DSS’ Medicaid waiver programs based on a competitive procurement.
The only change proposed in this renewal is to eliminate Support and Planning Coach as a Waiver Service. The Support and Planning Coach service is available under the state’s 1915(k) Community First Choice program and is intended to assist persons in their efforts to self direct their services. Retaining the service in this waiver would be duplicative. No waiver participants will lose any services or be impacted negatively as a result of this change.
Addendum to CT Home Care Program for Elders Case Management Freedom of Choice Waiver
Part I: Program Overview
Tribal Consultation (continued):
After email notifications have been sent, the State determines that the tribes do not have any questions or concerns regarding the proposal if comments or questions are not received within two (2) weeks. In addition to the aforementioned notification and consultation process, the State will also arrange for a meeting or teleconference with the tribal representatives to discuss the proposed change for State Plan Amendments that may have a unique or particular impact on tribal members.
For this 1915(b)(4) waiver application, DSS emailed a “Notice of Intent to Renew the Home and Community Based Services Waiver” to the medical directors and their respective designees of both tribes on January XX, 2020. Specifically, the notice was sent to Carrie Janus and Connie Hilbert with the Mohegan Tribe and Barbara Poirer and Shanna Reels with the Mashantucket Pequot Tribal Nation. CMS was also alerted to the tribal notification. In the time since the notice was sent, DSS has not received questions or comments from either tribe on the 1915(b)(4) waiver application. Since this time period has exceeded two (2) weeks, DSS has determined that the tribes do not have any questions or concerns regarding the proposal.