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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.
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The State of Connecticut offers a variety of services to help eligible individuals who need support to live at home or to return to community living. Many of the programs are administered under a Medicaid ‘waiver,’ meaning that Connecticut has received federal approval to waive certain Medicaid requirements to meet the service needs of older adults and adults with disabilities in the community.
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The Emergency Food Assistance Program
Nutrition Assistance programs provide food and cash equivalents to various populations DSS serves. Their goal is to promote adequate nutrition among the target populations.
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A Winsted dentist and his practice were ordered to pay $717,046 in restitution and civil penalties after a Superior Court judge found his conduct violated the Connecticut Unfair Trade Practices Act, also known as CUTPA, Attorney General George Jepsen said today… DSS Commissioner Roderick L. Bremby said, "Overall, dental and medical providers in Connecticut's Medicaid program are dedicated practitioners whose treatment services and reimbursement billings are conducted in a professional, above-board manner. Unfortunately, there are some outliers who cause the need for vigilant quality assurance and anti-fraud enforcement. I am pleased to acknowledge and thank the Attorney General's Office, the Department of Consumer Protection and our other state and federal partners for their continuing work with DSS quality assurance investigators in this crucial area."
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Gov Malloy Re Appoints Roderick Bremby as Commissioner of the Department of Social Services
Governor Dannel P. Malloy today announced that he intends to re-appoint Roderick L. Bremby as Commissioner of the Department of Social Services (DSS) when his second term in office begins on January 7, 2015.
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State Enters Settlement with Newtown Psychiatrist Resolving False Claim Allegations
A Newtown psychiatrist has agreed to a $422,641.70 joint federal-state settlement and will enter into a compliance program to resolve allegations that he submitted false claims for payments to Connecticut's Medicaid program and to Medicare, Attorney General George Jepsen said today…Department of Social Services Commissioner Roderick L. Bremby said, "As administering agency for Medicaid in Connecticut, DSS joins our state and federal partners in a strong commitment to protect the integrity of the program. While this false claims case does not represent medical providers as a whole, it underscores the need for continual quality control and anti-fraud oversight. We thank Attorney General Jepsen and his staff, the state Division of Criminal Justice Medicaid Fraud Control Unit, the United States Attorney's Office, and the HHS Inspector General's Office for their outstanding work in coordination with DSS quality assurance investigators."
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Connecticut Behavioral Health Partnership - CTBHP
CTBHP is a Partnership that consists of the Department of Children and Families (DCF), the Department of Social Services (DSS), the Department of Mental Health and Addiction Services (DMHAS), ValueOptions® and a legislatively mandated Oversight Council. (Please note this is an external website not maintained by the Department of Social Services)
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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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School Based Child Health (SBCH)
Medicaid School Based Child Health reimbursement information for School Districts and Providers.
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Public Can Check Nursing Home Vaccination Rates Online (CT DSS/DPH news release)