*Has your contact information changed? Don’t miss important news about your benefits. Please update your contact info online now! If you’re a HUSKY A, B or D member, go to www.accesshealthct.com and sign in to your Access Health CT User Account. If you’re a HUSKY C member, SNAP or cash assistance client, go to www.connect.ct.gov or www.mydss.ct.gov and sign in to your DSS MyAccount.

*24/7 access to DSS: You can apply for & renew services online through our ConneCT portal (www.connect.ct.gov). Get case/benefit status, view notices, report changes, download budget sheets, upload & send documents & more! Our 24/7 Client Information Line gives you access to many service & eligibility needs (1-855-626-6632). And check out MyDSS--our new mobile-friendly app--access your account anywhere, anytime, on any device (www.ct.gov/mydss).

Overview

Notice of Intent to Submit Emergency Preparedness and Response Amendment (Appendix K) to the Comprehensive Supports Medicaid Waiver, Individual and Family Support Medicaid Waiver, and Employment and Day Supports 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” or the “Department”) intends to submit an Emergency Preparedness and Response Amendment (“Appendix K amendment”) to the Centers for Medicare and Medicaid Services (“CMS”) related to the following 1915(c) home and community-based services waivers operated by the Department of Developmental Services (DDS):

  • Comprehensive Supports Medicaid waiver
  • Individual and Family Support Medicaid waiver
  • Employment and Day Supports Medicaid waiver

Appendix K amendments are temporary and expire six months following the expiration of the federal public health emergency related to the continued consequences of the Coronavirus Disease (COVID-19) pandemic. The following is a summary of the proposed changes, as more fully described in the Appendix K amendments: 

  • As permitted by Section 2 of CMS State Medicaid Director (SMD) Letter #21-003, DDS is proposing to permit an additional three 30-day periods of provider retainer payments, retroactive to January 2021, for all habilitation programs (both residential and day supports) that include personal care to ensure continuous operations and sustainability of waiver services. Each episode of retainer payments may not exceed 30 consecutive days. DDS is choosing to utilize multiple 30-day retainer payment periods with a limit of three. These three 30-day periods are in addition to the initial three 30-day retainer payment periods contained in the Appendix K amendments to these waivers approved by CMS on November 5, 2020 (CMS Amendment Control Numbers CT.0426.R03.05, CT.0437.R03.04 and CT.0881.R01.05).
  • Stabilization payments to certain qualified provider types covered under the waivers listed in this Appendix K. Rate methodology would be increased proportionally by stabilization funds during the approved rate setting process. The intent of the payments is to assist qualified providers impacted by the pandemic, as well as to assist with recruitment and retention of provider staff.Incentive-based outcome payments to any qualified residential provider covered under the waivers listed in this Appendix K that transitions a waiver participant from a congregate residential setting toward a more integrated community-based setting.
  • Temporary rate increases for specific employment and residential waiver service authorizations covered under the waivers listed in this Appendix K that move a waiver participant toward a more independent residential setting or toward competitively-based employment.
  • Temporary rate increases for qualified residential and day provider types covered under the waivers listed in this Appendix K to allow such providers to modernize technology-based infrastructure, including billing processes and systems.
  • Temporary increase in the service amount cap for the Assistive Technology service covered under the waivers in this Appendix K from $15,000 to $30,000.

For a copy of the Notice of Intent summarizing the proposed changes, please follow this link. 

For a copy of the complete Appendix K amendments, please follow the following links - Appendix K rate increases and AT  and Appendix K retainer payments.

All written comments regarding these applications must be submitted by February 17, 2022 to: Krista Ostaszewski, Health Management Administrator, DDS Central Office, 460 Capitol Avenue Hartford, Connecticut, 06106, or via email at Krista.Ostaszewski@ct.gov.

***

Notice of Intent to Submit Emergency Preparedness and Response Amendment (Appendix K) to 1915(c) Home and Community-Based Medicaid Waivers

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” or the “Department”) intends to submit an Emergency Preparedness and Response Amendment (“Appendix K amendment”) related to the following 1915(c) Home and Community-Based Medicaid Waivers:

  • Connecticut Home Care Program for Elders
  • Personal Care Assistance Waiver
  • Acquired Brain Injury Waiver
  • Home & Community Supports Waiver for Persons with Autism
  • Acquired Brain Injury Waiver II
  • Mental Health Waiver
  • Katie Beckett Waiver

For a copy of the Notice of Intent summarizing the proposed changes, please follow this link.

For a copy of the complete Appendix K amendment, please follow this link. 

Any written comments must be submitted by December 30, 2021 to the Department of Social Services, Community Options Unit, 55 Farmington Ave, Hartford, CT 06105, Attention: Jennifer Cavallaro, Director; or via email to Jennifer.Cavallaro@ct.gov.

***

Notice of Intent to Renew and Amend the Mental Health Home and Community-Based Services 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 submit a renewal of the Mental Health Home and Community-Based Services Waiver to the Centers for Medicare and Medicaid Services (“CMS”), to be effective April 1, 2022.

The above-referenced waiver is operated by the Department of Mental Health and Addiction Services (DMHAS).

The Department of Social Services and DMHAS are proposing the following changes upon renewal:

  • Adding Interpreter Services, which would allow monolingual participants to have interpreter services more readily available during assessments and meetings. 
  • Adding Mental Health Counseling Services, which would allow participants the choice of receiving counseling in their home environment as opposed to an office or clinic setting.
  • Administratively removing Group Recovery Assistant and Group Community Support Program, as the group component of these two services can now be authorized and billed using a modifier with the standard Recovery Assistant and Community Support Program codes.
  • Increasing the per-participant annual limit for Assistive Technology services from $1,000 to $2,000.
  • Reducing the number of annual Money Follows the Person reserved slots from 60 to 30 to more accurately reflect historical usage.
  • Technical updates, including: updating performance measures as recommended by CMS; identifying services that utilize electronic visit verification (EVV); and indicating that certain services are billed directly through the state’s Medicaid claims payment system rather than through a fiscal intermediary.

All written comments regarding this renewal application must be submitted by November 26, 2021 to: Erin Leavitt-Smith, Director Long Term Services and Supports, Mental Health Waiver Program, Department of Mental Health and Addition Services, PO Box 351, Middletown, Connecticut, 06457; or via email to Erin.Leavitt-Smith@ct.gov.

For a copy of the Notice of Intent, please follow this link.

For a copy of the full Application to Renew and Amend theMental Health Home and Community-Based Services Waiver, please follow this link.

***

Notice of Intent to Renew the Acquired Brain Injury Medicaid Waiver (ABI I)

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 renew the Acquired Brain Injury Medicaid Waiver (ABI I).  This waiver currently expires on December 31, 2021.  There are no changes, other than those related to routine operational issues, proposed in this waiver renewal. 

Any written comments regarding this waiver renewal must be submitted by August 28, 2021 to the Department of Social Services, Community Options Unit, 55 Farmington Ave, Hartford, CT 06105, Attention: Jennifer Cavallaro, Director; or via email to Jennifer.Cavallaro@ct.gov

For a copy of the Notice of Intent, please follow this link. 

For a copy of the full Application to Renew the Acquired Brain Injury Medicaid Waiver (ABI I), please follow this link. 

***

Notice of Intent to Renew the Katie Beckett 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 renew the Katie Beckett Medicaid Waiver.  This waiver currently expires on December 31, 2021.  There are no changes, other than those related to routine operational issues, proposed in this waiver renewal. 

Any written comments regarding this waiver renewal must be submitted by August 28, 2021 to the Department of Social Services, Community Options Unit, 55 Farmington Ave, Hartford, CT 06105, Attention: Jennifer Cavallaro, Director; or via email to Jennifer.Cavallaro@ct.gov

For a copy of the Notice of Intent, please follow this link. 

For a copy of the full Application to Renew the Katie Beckett Medicaid Waiver, please follow this link.

***

Notice of Intent to Amend the Medicaid Waivers for Individual and Family Support and Comprehensive Supports

Notice is hereby given that the Commissioner of Social Services intends to submit to the Centers for Medicare and Medicaid Services (“CMS”) an amendment pertaining to routine operational issues of both the Individual and Family Supports Waiver and the Comprehensive Supports Waiver, each to be effective September 1, 2021.

The above-referenced waivers are operated by the Department of Developmental Services.

The Department of Social Services and the Department of Developmental Services are proposing to amend the performance measures in these two Medicaid Waivers to align with those already approved to take effect on April 1, 2021 in the Medicaid Waiver for Employment and Day Supports.

No current enrollees will be negatively impacted by the changes proposed in the application.

All written comments regarding these applications must be submitted by May 13, 2021 to: Krista Ostaszewski, 460 Capitol Avenue Hartford, Connecticut, 06106, or via email at Krista.Ostaszewski@ct.gov.

For a copy of the Notice of Intent, please follow this link. 

For a copy of the full Application to Amend the Individual and Family Supports Waiver, please follow this link.

For a copy of the full Application to Amend the Comprehensive Supports Waiver, please follow this link.

***

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:

  1. 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.

  2. 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

  3. 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.

For a copy of the Notice of Intent, please follow this link. 

For a copy of the full Application to Renew the Employment and Day Supports Medicaid Waiver, please follow this link.

***

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.

For a copy of the Notice of Intent, please follow this link.

For a copy of the full waiver Application to Amend the Personal Care Assistant Medicaid Waiver, please follow this link.

***

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.

For a copy of the Notice of Intent, please follow this link.

For a copy of the full waiver Application for Renewal of the CT Home Care Program for Elders Medicaid Waiver, please follow this link.

***

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.

For a copy of the Addendum, please follow this link.

For a copy of the Application for Renewal of the CT Home Care Program for Elders Case Management Freedom of Choice Waiver, please follow this link.

***