Publications
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Report of Admission or Discharge Rated Housing Facility/Residential Care Home W-265
Form W-265 is used by the Rated Housing Facility/Residential Care Home to notify the Department (1) when an individual is admitted to the home or facility, (2) when an individual is discharged from the home or facility (regardless of whether the discharge is temporary or permanent) and (3) when there is a change in discharge status from temporary to permanent.
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Request for Exemption from the SNAP Time Limit (W1460) - English
Request for Exemption from the SNAP Time Limit (W-1460) - English - Rev. 10/24
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Request for Exemption from the SNAP Time Limit (W1460S) - Spanish
Request for Exemption from the SNAP Time Limit (W-1460S) - Spanish - Rev. 10/24
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SAGA Application for Payment of Funeral and Burial Expenses W-1053
SAGA Application for Payment of Funeral and Burial Expenses.
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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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SNAP ABAWD Work Requirement Medical Report W-1210
SNAP ABAWD Work Requirement Medical Report.
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Social Services Block Grant (SSBG) Allocation Plan – Federal Fiscal Year 2021
The block grant legislation gives the state significant discretion in providing a wide range of services.
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State Files False Claims Act Lawsuit against East Hartford Behavioral Health Provider
The state has filed a lawsuit against an East Hartford-based licensed clinical social worker and her company alleging that they billed the state's Medicaid program for services that were not provided to Medicaid recipients, in violation of the Connecticut False Claims Act, Attorney General George Jepsen and state Department of Social Services (DSS) Commissioner Roderick L. Bremby said today.
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State Files False Claims Act Lawsuit against Fairfield Dentist
Attorney General George Jepsen and state Department of Social Services (DSS) Commissioner Roderick L. Bremby today announced that the state has filed a False Claims Act lawsuit against a Fairfield dentist alleging that he engaged in a long-term, pervasive scheme to defraud the state's Medicaid program.
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State Files False Claims Act Lawsuit against Waterbury Behavioral Health Provider
Attorney General George Jepsen and state Department of Social Services Commissioner Roderick L. Bremby announced today that the state has filed a False Claims Act lawsuit against a Waterbury behavioral health provider alleging that he engaged in a long-term scheme to defraud the state's Medicaid program.
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The state has initiated a False Claims Act lawsuit alleging that a Norwalk-based family practitioner engaged in a pervasive and illegal scheme to defraud Connecticut's Medicaid program by submitting false claims for services never provided, Attorney General George Jepsen and state Department of Social Services Commissioner Roderick L. Bremby said today. (July 13, 2017).
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The state has initiated a lawsuit alleging violations of the Connecticut False Claims Act and breach of contract by a licensed professional counselor from Norwich.
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These plans describe Connecticut’s programs that furnish financial assistance and services to needy families in a manner to fulfill the purposes of the Temporary Assistance for Needy Families (TANF) program.