Health Services

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• COVERED CONNECTICUT PROGRAM

• Medicaid Waiver Applications

  The CT Department of Social Services is the single state agency for the Medicaid program and is responsible for the overall administration of the program, including all federal Medicaid Waivers. This section will provide the notice of the Department of Social Services’ intention to submit a federal Medicaid Waiver application to the Centers on Medicare and Medicaid Services. Medicaid Waiver applications may include a submission for a new Medicaid waiver application, renewal or amendment.

• Continuing Care Facility

  Continuing Care Facility (CCF) are required to register with the Department of Social Service by filing required disclosure documents. The Disclosure Statement provides residents the necessary information regarding the nature of the program, financial considerations, rights and privileges under the Residency Agreement.

• 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.

• ICF IID

  Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Medicaid

• 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.

• School Based Child Health (SBCH)

  Medicaid School Based Child Health reimbursement information for School Districts and Providers.

• Medicaid Nursing Home Reimbursement

  Under the Connecticut Medicaid program, payment rates for nursing homes are set on a cost-based prospective basis in accordance with Section 17b-340 of the Connecticut General Statutes and Section 17-311-52 of the Regulations of Connecticut State Agencies.

• 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.

• Autism Spectrum Disorder - ASD

  The Department of Social Services Waiver for Persons with Autism provides home-and community-based services to individuals with autism who do not have an intellectual disability (a full IQ score of 70 or higher).

• Autism Spectrum Disorder Advisory Council

  The goal of ASDAC is to provide advice and counsel to the Commissioner of DSS regarding the implementation of the recommendations of the Autism Feasibility Study workgroup with the ultimate goal of designing and developing a state-wide service delivery system for individuals with Autism Spectrum Disorders and their families, by building on existing infrastructure and resources and drawing on the experiences of other states.

• Covered Connecticut Demonstration

• 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).

• 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.