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Non-Emergency Medical Transportation (NEMT)
Medicaid Non-Emergency Medical Transportation (NEMT) is an important benefit for Medicaid members who need to get to and from Medicaid-covered medical services but have no means of transportation.
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Coronavirus Relief Fund Payments
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Section 1115 Demonstration Waiver for Substance Use Disorder (SUD) Treatment
As part of the U.S. Department of Health and Human Services’ effort to combat the ongoing opioid crisis, the Centers for Medicare & Medicaid Services (CMS) created an opportunity under the authority of section 1115(a) of the Social Security Act for states to demonstrate and test flexibilities to improve the continuum of care for beneficiaries with substance use disorders (SUD) including Opioid Use Disorder (OUD).
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Reimbursement and Certificate of Need
The primary functions of Reimbursement and Certificate of Need (CON) include establishment of payment rates for Connecticut's Mediciad 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.
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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.
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Federally Qualified Health Center (FQHC) Medicaid Reimbursement
Federally Qualified Health Centers provide health care for uninsured and underserved populations. Reimbursement and CON is responsible for review of FQHC cost reports, and establishment of Medicaid reimbursement.
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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).
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Community Living Arrangements (CLA)
Community Living Arrangements (CLA) also known as group homes, offer individuals the opportunity to live in the community.
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The Department administers programs which promote social, physical and economic well-being while providing people with disabilities with opportunities to achieve their full potential for self-direction. The Department works closely with an advisory council comprised primarily of people with disabilities which makes recommendations to improve the planning, development and administration of programs.
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Find a List of Applications and Forms