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• Medicaid Access Monitoring Review Plan

  Effective January 1, 2016, the federal Centers for Medicare & Medicaid Services (CMS) adopted regulations at 42 C.F.R. §§ 447.203 and 447.204 that require state Medicaid programs to ensure Medicaid members have access to covered services.

• Connecticut AIDS Drug Assistance Program (CADAP)

  CADAP is a service that helps eligible Connecticut residents with HIV or AIDS afford the cost of medications approved by the U.S. Food and Drug Administration.

• Connecticut Home Care Program for Elders (CHCPE)

  This program provides services to help eligible residents live in the community. Eligible applicants must be 65 years of age or older, be at risk of nursing home placement and meet the program’s financial eligibility criteria. To be at risk of nursing home placement means that the applicant needs assistance with critical needs such as bathing, dressing, eating, taking medications and toileting. CHCPE helps clients continue living at home instead of going to a nursing home. Each applicant’s needs are reviewed to determine if he/she may remain at home with the help of home care services.

• DSS Work Groups

• Electronic Visit Verification

  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).

• Community Living Arrangements (CLA)

  Community Living Arrangements (CLA) also known as group homes, offer individuals the opportunity to live in the community.

• Disability Services

  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.

• General Guidance

• 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.

• Notice of Intent to Amend Personal Care Assistance and Home Care Program for Elders Medicaid Waivers

• Notice of Intent to Amend Medicaid Waivers For Individual and Family Support and Employment and Day Supports

  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 the following two applications to the Centers for Medicare and Medicaid Services (“CMS”).

• 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.

• 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 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.

• Nursing Facility Cost Reports

  Connecticut Medicaid Rate Setting Reimbursement and CON Unit Nursing Home Cost Reports.