reglab/housing_qa huggingface dataset:
CT Gen Stat § 17b-280c (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-280c - Methadone maintenance. Minimum rates. Rate reductions for failure to meet performance measures.

 (a) For purposes of this section: (1) “Methadone maintenance” means a chemical maintenance program under which an addiction to one drug, including, but not limited to, heroin, is treated with the drug methadone in a weekly program that includes on and off-site methadone administration, drug testing and counseling; and (2) “chemical maintenance provider” means a provider certified and licensed by the federal Substance Abuse and Mental Health Services Administration and the state Department of Public Health who meets all federal and state requirements, including, but not limited to, requirements specific to the provision of chemical maintenance services.(b) The Commissioner of Social Services shall amend the Medicaid state plan to provide a minimum weekly reimbursement rate of eighty-eight dollars and fifty-two cents to a chemical maintenance provider for methadone maintenance treatment of a Medicaid beneficiary, provided no such provider receiving a higher rate shall have such rate reduced to the minimum as a result of the implementation of a new minimum reimbursement rate.(c) Notwithstanding subsection (b) of this section, on or after July 1, 2020, any reimbursement to a chemical maintenance provider for methadone maintenance treatment shall be contingent upon meeting certain performance measures as determined by the commissioner. Such performance measures shall be developed in consultation with the Department of Mental Health and Addiction Services and chemical maintenance providers. Initial performance measures shall be developed by September 30, 2019, including the means by which such measures shall be evaluated. The initial evaluation period shall be based on the claims data for the quarter ending March 31, 2020. The performance measures and thresholds may be adjusted after the initial evaluation period. Failure to meet department-identified standards on performance measures shall result in a rate reduction of (1) up to five per cent for the quarters ending September 30, 2020, and December 31, 2020, and (2) up to ten per cent beginning January 1, 2021. No provider shall receive a rate decrease under this subsection that is more than a ten per cent decrease annually.(d) The Commissioner of Social Services, pursuant to section 17b-10, may implement policies and procedures to administer the provisions of this section while in the process of adopting such policies and procedures in regulation form, provided the commissioner prints notice of the intent to adopt the regulations on the department's Internet web site and the eRegulations System not later than twenty days after the date of implementation. Such policies and procedures shall be valid until the time final regulations are adopted.(P.A. 19-117, S. 311.)History: P.A. 19-117 effective July 1, 2019.
CT Gen Stat § 17b-281. (Formerly Sec. 17-134cc) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-281. (Formerly Sec. 17-134cc) - Payment of oxygen products and services under medical assistance program.

 Notwithstanding any provision of the regulations of Connecticut state agencies, effective July 1, 1989, the state shall pay for oxygen products and services for Medicaid recipients when such recipients meet the medical criteria for coverage under the Medicare program, except that payment for oxygen products and services via oxygen concentrators in rest homes with nursing supervision and in chronic and convalescent homes shall be included in the per diem reimbursement rate established by the Commissioner of Social Services. Reimbursement for alternative oxygen products and services in such facilities may be made if substantiated by medical necessity.(P.A. 89-296, S. 3, 9; P.A. 93-262, S. 1, 87.)History: P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of income maintenance, effective July 1, 1993; Sec. 17-134cc transferred to Sec. 17b-281 in 1995.Cited. 233 C. 557.
CT Gen Stat § 17b-281a (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-281a - Procedure for preauthorization of purchase or rental of durable medical equipment.

 (a) The Commissioner of Social Services shall extend the procedure in effect on October 1, 1998, for the preauthorization of the purchase or rental of new durable medical equipment and modification or repair of existing equipment to include services provided to Medicaid recipients who are also recipients of Medicare. The commissioner may enter into any necessary agreements with the Centers for Medicare and Medicaid Services to ensure the coordination of authorization and payment for durable medical equipment for such recipients.(b) Access to such procedure shall not be denied to a recipient on the basis that a Medicare coverage determination has not been made prior to the submission of a request for preauthorization to the commissioner. The commissioner shall not make payment for an item to a supplier of durable medical equipment on behalf of a Medicare recipient until the commissioner has received documentation establishing that a claim has been filed with, and a coverage and reimbursement decision has been rendered under, the Medicare program.(P.A. 98-239, S. 6; P.A. 03-19, S. 41.)History: P.A. 03-19 replaced “Health Care Financing Administration” with “Centers for Medicare and Medicaid Services” in Subsec. (a), effective May 12, 2003.
CT Gen Stat § 17b-281b (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-281b - Used durable medical equipment. Payments to vendors or suppliers.

 The Commissioner of Social Services may authorize payment for used durable medical equipment to a vendor or supplier of durable medical equipment enrolled as a medical equipment, devices and supplies provider under the Medicaid program.(June Sp. Sess. P.A. 01-2, S. 8, 69; June Sp. Sess. P.A. 01-9, S. 129, 131; May 9 Sp. Sess. P.A. 02-7, S. 48.)History: June Sp. Sess. P.A. 01-2 effective July 2, 2001; June Sp. Sess. P.A. 01-9 revised effective date of June Sp. Sess. P.A. 01-2 but without affecting this section; May 9 Sp. Sess. P.A. 02-7 amended section to permit commissioner to authorize payment to a vendor or supplier of used durable medical equipment provided under the Medicaid program and eliminated requirement that commissioner seek federal waiver to provide coverage for such equipment, effective August 15, 2002.
CT Gen Stat § 17b-281c (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-281c - Authority of commissioner to modify medical equipment fee schedules.

 The Commissioner of Social Services may modify the state medical assistance durable medical equipment, medical surgical supply, oxygen, orthotic and prosthetic devices and hearing aid fee schedules, applicable regulations, policies and procedures or purchase of service contracts to achieve any expenditure reductions adopted under public act 03-1 of the June 30 special session*. In the event that such modifications require revisions to any existing state regulations, the commissioner may make such modifications while in the process of adopting the modifications in regulation form provided the commissioner publishes notice of any modifications of regulations in the Connecticut Law Journal within twenty days of implementation of such modifications. Such modifications may include, but shall not be limited to: (1) A change in the reimbursement to customized manually priced devices to a formula based on a percentage of list or acquisition of costs; (2) a percentage reduction in payments to all other durable medical equipment, medical surgical supply, oxygen, orthotic and prosthetic devices and hearing aid providers; (3) the application of any rental costs for durable medical equipment when the department subsequently purchases the same equipment for a recipient; and (4) the selection of a vendor or vendors to be the providers of durable medical equipment, medical surgical supply, oxygen, orthotic and prosthetic devices and hearing aid services pursuant to a competitive bidding process. In no event shall any modifications to the state medical assistance fee schedules, regulations, policies and procedures or purchase of service contracts implemented by the commissioner pursuant to this section be estimated to achieve expenditure reductions in an amount less than adopted in public act 03-1 of the June 30 special session*.(June 30 Sp. Sess. P.A. 03-3, S. 53.)*Note: Public act 03-1 of the June 30 special session is entitled “An Act Concerning Expenditures and Revenue for the Biennium Ending June 30, 2005”. (See Reference Table captioned “Public Acts of June 30, 2003” in Volume 16 which lists the sections amended, created or repealed by the act.)History: June 30 Sp. Sess. P.A. 03-3 effective August 20, 2003.
CT Gen Stat § 17b-282. (Formerly Sec. 17-134dd) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-282. (Formerly Sec. 17-134dd) - Medical assistance for certain children and elderly and disabled persons.

 On and after January 1, 1991, the Commissioner of Social Services may provide, in accordance with federal law and regulations and within available appropriations, medical assistance under the Medicaid program to (1) children over five and under nine years of age whose families have an income below one hundred per cent of the federal poverty level and (2) elderly and disabled persons who would be eligible to receive supplemental security income benefits except for income and who have incomes below one hundred per cent of the federal poverty level.(P.A. 90-134, S. 3, 28; P.A. 93-262, S. 1, 87; June 18 Sp. Sess. P.A. 97-2, S. 73, 165.)History: P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of income maintenance, effective July 1, 1993; Sec. 17-134dd transferred to Sec. 17b-282 in 1995; June 18 Sp. Sess. P.A. 97-2 made technical changes, effective July 1, 1997.Cited. 233 C. 557.
CT Gen Stat § 17b-282a (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-282a - Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons.

 The Commissioner of Social Services, to the extent permitted by federal law, shall amend the Medicaid state plan to provide coverage for general anesthesia, nursing and related hospital services provided in conjunction with dental services, provided such anesthesia, nursing and related hospital services are provided in conjunction with in-patient dental services if the following conditions are met:(1) The anesthesia, nursing and related hospital services are deemed medically necessary by the treating dentist or oral surgeon and the patient's primary care physician in accordance with the department's requirements for prior authorization of services, if required; and(2) The patient is either (A) a child under the age of four who is determined by a licensed dentist, in conjunction with a licensed physician who specializes in primary care, to have a dental condition of significant dental complexity that it requires certain dental procedures to be performed in a hospital, or (B) a person who has a developmental disability, as determined by a licensed physician who specializes in primary care, that places the person at serious risk. The expense of such anesthesia, nursing and related hospital services shall be deemed a medical expense under such health insurance policy and shall not be subject to any limits on dental benefits under such policy.(P.A. 99-284, S. 42, 60.)History: P.A. 99-284 effective January 1, 2000.
CT Gen Stat § 17b-282b (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-282b - Implementation of state-wide dental plan. Waiver.

 Not later than July 1, 2004, and prior to the implementation of a state-wide dental plan that provides for the administration of the dental services portion of the department's medical assistance, the Commissioner of Social Services shall amend the federal waiver approved pursuant to Section 1915(b) of the Social Security Act. Such waiver amendment shall be submitted to the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations and the budgets of state agencies in accordance with the provisions of section 17b-8.(P.A. 03-155, S. 2; P.A. 04-16, S. 9; Sept. Sp. Sess. P.A. 09-5, S. 49.)History: P.A. 03-155 effective July 1, 2003; P.A. 04-16 made technical changes in Subsec. (b); Sept. Sp. Sess. P.A. 09-5 deleted former Subsec. (b) re prior authorization requirements and made a conforming change, effective October 5, 2009.
CT Gen Stat § 17b-282c (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-282c - Nonemergency dental services. Regulations.

 (a) All nonemergency dental services provided under the Department of Social Services' dental programs, as described in section 17b-282b, shall be subject to prior authorization. Nonemergency services that are exempt from the prior authorization process shall include diagnostic, prevention, basic restoration procedures and nonsurgical extractions that are consistent with standard and reasonable dental practices. Payment for nonemergency dental services shall not exceed one thousand dollars per calendar year for an individual adult, provided services determined to be medically necessary, as defined in section 17b-259b, including dentures, shall not be subject to such payment cap. Dental benefit limitations shall apply to each client regardless of the number of providers serving the client. The commissioner may recoup payments for services that are determined not to be for an emergency condition or otherwise in excess of what is medically necessary. The commissioner shall periodically, but not less than quarterly, review payments for emergency dental services and basic restoration procedures for appropriateness of payment. For the purposes of this section, “emergency condition” means a dental condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that a prudent layperson, who possesses an average knowledge of health and medicine, could reasonably expect the absence of immediate dental attention to result in placing the health of the individual, or with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy, cause serious impairment to body functions or cause serious dysfunction of any body organ or part.(b) The Commissioner of Social Services may implement policies and procedures necessary to administer the provisions of this section while in the process of adopting such policies and procedures as regulation, provided the commissioner prints notice of intent to adopt regulations in the Connecticut Law Journal not later than twenty days after the date of implementation. Policies and procedures implemented pursuant to this section shall be valid until the time final regulations are adopted.(Sept. Sp. Sess. P.A. 09-5, S. 48; June 12 Sp. Sess. P.A. 12-1, S. 2; June Sp. Sess. P.A. 17-2, S. 49.)History: Sept. Sp. Sess. P.A. 09-5 effective October 5, 2009; June 12 Sp. Sess. P.A. 12-1 amended Subsec. (a) by adding provision re application of dental benefit limitations, effective July 1, 2012; June Sp. Sess. P.A. 17-2 amended Subsec. (a) by adding provision re maximum payment for nonemergency dental expenses, effective January 1, 2018.
CT Gen Stat § 17b-282e (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-282e - Orthodontic services for Medicaid recipients under twenty-one years of age.

 The Department of Social Services shall cover orthodontic services for a Medicaid recipient under twenty-one years of age when the Salzmann Handicapping Malocclusion Index indicates a correctly scored assessment for the recipient of twenty-six points or greater, subject to prior authorization requirements. If a recipient's score on the Salzmann Handicapping Malocclusion Index is less than twenty-six points, the Department of Social Services shall consider additional substantive information when determining the need for orthodontic services, including (1) documentation of the presence of other severe deviations affecting the oral facial structures; and (2) the presence of severe mental, emotional or behavioral problems or disturbances, as defined in the most current edition of the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association, that affects the individual's daily functioning. The commissioner may implement policies and procedures necessary to administer the provisions of this section while in the process of adopting such policies and procedures in regulation form, provided the commissioner publishes notice of intent to adopt regulations on the eRegulations System not later than twenty days after the date of implementation.(June Sp. Sess. P.A. 15-5, S. 390.)History: June Sp. Sess. P.A. 15-5 effective June 30, 2015.
CT Gen Stat § 17b-282f (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-282f - Mobile dental clinics. Medicaid coverage areas. Regulations.

 (a) For purposes of this section, (1) “mobile dental clinic” means preventative or restorative dental services offered by a licensed dentist or dental hygienist from a van or through the use of portable equipment at various locations, and (2) “fixed location” means the permanent office of an associated dentist licensed pursuant to chapter 379, who contracts with a mobile dental clinic and (A) is enrolled as a Medicaid provider; (B) maintains the diagnostic imaging, tests and charts of patients treated by the mobile dental clinic; (C) accepts and treats patients from the mobile dental clinic; and (D) provides a continuum of dental care.(b) A mobile dental clinic may submit claims for Medicaid reimbursement to the Department of Social Services for dental treatment of Medicaid beneficiaries that occurred not more than thirty miles from the associated dentist's fixed location, except that a mobile dental clinic located in the counties of New London, Litchfield and Windham may submit claims for Medicaid reimbursement to the Department of Social Services for dental treatment of Medicaid beneficiaries that occurred not more than fifty miles from the dentist's fixed location.(c) The Commissioner of Social Services shall adopt regulations in accordance with the provisions of chapter 54 to implement the provisions of this section. The commissioner may adopt policies and procedures to implement the provisions of this section while in the process of adopting regulations, provided such policies and procedures are published on the eRegulations System before such policies and procedures are implemented.(P.A. 19-149, S. 1.)History: P.A. 19-149 effective July 8, 2019.
CT Gen Stat § 17b-283. (Formerly Sec. 17-134ee) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-283. (Formerly Sec. 17-134ee) - Medicaid home and community-based services waiver program for children and young adults with disabilities.

 The Commissioner of Social Services shall, within available appropriations, administer a Medicaid waiver program pursuant to Section 1915(c) of the Social Security Act to provide home and community-based services for persons who are institutionalized or at risk of institutionalization and who (1) are twenty-one years of age or younger; (2) have a physical disability and may also have a co-occurring developmental disability; and (3) meet the financial eligibility criteria established in the waiver.(P.A. 90-134, S. 5, 28; P.A. 93-262, S. 1, 87; June 18 Sp. Sess. P.A. 97-2, S. 74, 165; June Sp. Sess. P.A. 00-2, S. 50, 53; P.A. 12-119, S. 2.)History: P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of income maintenance, effective July 1, 1993; Sec. 17-134ee transferred to Sec. 17b-283 in 1995; June 18 Sp. Sess. P.A. 97-2 made a technical and conforming change in Subsec. (b), effective July 1, 1997; June Sp. Sess. P.A. 00-2 deleted former Subsec. (b) re feasibility study concerning Medicaid coverage for outpatient substance abuse treatment, removed Subsec. (a) designator and added language re amendment of waiver to increase number of eligible persons, effective July 1, 2000; P.A. 12-119 replaced former provisions re model 2176 Medicaid waiver with provisions re Medicaid waiver program for certain children and young adults with disabilities, effective July 1, 2012.Cited. 233 C. 557.
CT Gen Stat § 17b-283a (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-283a - Active duty armed forces member application for Medicaid home or community-based program on behalf of eligible spouse or child.

 Notwithstanding any provision of the general statutes, any member of the armed forces, as defined in subsection (a) of section 27-103, who is on active duty may apply on behalf of such member's spouse or child for any Medicaid home or community-based program in this state for which such spouse or child is eligible.(P.A. 17-127, S. 15.)
CT Gen Stat § 17b-284. (Formerly Sec. 17-134ff) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-284. (Formerly Sec. 17-134ff) - Medical assistance for certain employed persons.

 (a) The Commissioner of Social Services may continue, within available appropriations, to provide Medicaid to employed persons who have conditions which prevent them from obtaining health insurance under an employer's group health insurance plan and who would otherwise be eligible for such medical assistance.(b) The commissioner may pay under the Medicaid program, within available appropriations, the employee's share of health insurance under an employer's group health insurance plan for employees who would otherwise be eligible for medical assistance.(c) The commissioner may pay under the Medicaid program, within available appropriations, the premiums for continued health insurance coverage under an employer's group health insurance plan, pursuant to section 38a-512a, for chronically ill and disabled persons who are no longer employed and would otherwise be eligible for Medicaid.(P.A. 90-134, S. 6, 28; P.A. 93-262, S. 1, 87; June 18 Sp. Sess. P.A. 97-2, S. 75, 165; P.A. 10-13, S. 6; P.A. 15-247, S. 30.)History: P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of income maintenance, effective July 1, 1993; Sec. 17-134ff transferred to Sec. 17b-284 in 1995; June 18 Sp. Sess. P.A. 97-2 made technical changes, effective July 1, 1997; P.A. 10-13 amended Subsec. (c) to change reference re continued health insurance coverage from federal COBRA to Sec. 38a-554, effective May 5, 2010; P.A. 15-247 amended Subsec. (c) to replace “38a-554” with “38a-512a”, effective July 10, 2015.Cited. 233 C. 557.