reglab/housing_qa huggingface dataset:
CT Gen Stat § 17b-268. (Formerly Sec. 17-134i) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-268. (Formerly Sec. 17-134i) - Withdrawal of member of group providing services.

 If the nomination of an agency or organization as provided in section 17b-267 is made by a group or association of providers of services, it shall not be binding on members of the group or association which notify the Commissioner of Social Services of their election not to be included in such nomination. Any provider may, upon such notice as may be specified in the agreement under section 17b-267, withdraw its nomination to receive payments through such agency or organization. Any provider which has withdrawn its nomination, and any group or association of providers which has not made a nomination, may elect to receive payments from any agency or organization which has entered into an agreement with the Commissioner of Social Services under section 17b-267 if the Commissioner of Social Services and such agency or organization agree to it.(1971, P.A. 431, S. 2; P.A. 75-420, S. 4, 6; P.A. 77-614, S. 608, 610; P.A. 93-262, S. 1, 87.)History: P.A. 75-420 replaced welfare commissioner with commissioner of social services; P.A. 77-614 replaced commissioner of social services with commissioner of of income maintenance, effective January 1, 1979; 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. 17-134i transferred to Sec. 17b-268 in 1995.Annotations to former section 17-134i:Cited. 168 C. 336; 204 C. 17; 216 C. 85.Annotation to present section:Cited. 233 C. 557.
CT Gen Stat § 17b-269. (Formerly Sec. 17-134j) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-269. (Formerly Sec. 17-134j) - Bonding of officers and employees.

 An agreement with an agency or organization under section 17b-267 may require any of its officers or employees certifying payments or disbursing funds pursuant to the agreement, or otherwise participating in carrying out the agreement, to give surety bond to the state in such amount as the Commissioner of Social Services may deem appropriate.(1971, P.A. 431, S. 4; P.A. 75-420, S. 4, 6; P.A. 77-614, S. 608, 610; P.A. 93-262, S. 1, 87.)History: P.A. 75-420 replaced welfare commissioner with commissioner of social services; P.A. 77-614 replaced commissioner of social services with commissioner of income maintenance, effective January 1, 1979; 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. 17-134j transferred to Sec. 17b-269 in 1995.Annotations to former section 17-134j:Cited. 168 C. 336; 204 C. 17; 216 C. 85.Annotation to present section:Cited. 233 C. 557.
CT Gen Stat § 17b-270. (Formerly Sec. 17-134k) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-270. (Formerly Sec. 17-134k) - Liability of agency and its officers.

 (a) No individual designated pursuant to an agreement under section 17b-267 as a certifying officer shall, in the absence of gross negligence or intent to defraud the state, be liable with respect to any payments certified by him under section 17b-267.(b) No disbursing officer shall, in the absence of gross negligence or intent to defraud the state, be liable with respect to any payment by him under section 17b-267 if it was based upon a voucher signed by a certifying officer designated as provided in subsection (a) of this section.(c) No such agency or organization shall be liable to the state for any payments referred to in subsection (a) or (b) of this section.(1971, P.A. 431, S. 5.)History: Sec. 17-134k transferred to Sec. 17b-270 in 1995.Annotations to former section 17-134k:Cited. 168 C. 336; 204 C. 17; 216 C. 85.Annotation to present section:Cited. 233 C. 557.
CT Gen Stat § 17b-271. (Formerly Sec. 17-134l) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-271. (Formerly Sec. 17-134l) - Termination of agreement.

 An agreement with the Commissioner of Social Services under section 17b-267 may be terminated: (1) By the agency or organization which entered into such agreement at such time and upon such notice to the Commissioner of Social Services, to the public, and to the providers as may be provided in regulations of the Commissioner of Social Services, or (2) by the Commissioner of Social Services at such time and upon such notice to the agency or organization, to the group or association of providers which have nominated it for purposes of section 17b-267, and to the public, as may be provided in said regulations, but only if he finds, after reasonable notice and opportunity for hearing to the agency or organization, that (A) the agency or organization has failed substantially to carry out the agreement, or (B) the continuation of some or all of the functions provided for in the agreement with the agency or organization is disadvantageous or is inconsistent with the efficient administration of the medical assistance program.(1971, P.A. 431, S. 3; P.A. 75-420, S. 4, 6; P.A. 77-614, S. 608, 610; P.A. 93-262, S. 1, 87.)History: P.A. 75-420 replaced welfare commissioner with commissioner of social services; P.A. 77-614 replaced commissioner of social services with commissioner of income maintenance, effective January 1, 1979; 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. 17-134l transferred to Sec. 17b-271 in 1995.Annotations to former section 17-134l:Cited. 168 C. 336; 204 C. 17; 216 C. 85.Annotation to present section:Cited. 233 C. 557.
CT Gen Stat § 17b-272. (Formerly Sec. 17-134m) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-272. (Formerly Sec. 17-134m) - Personal fund allowance.

 Effective July 1, 2011, the Commissioner of Social Services shall permit patients residing in nursing homes, chronic disease hospitals and state humane institutions who are medical assistance recipients under sections 17b-260 to 17b-262, inclusive, 17b-264 to 17b-285, inclusive, and 17b-357 to 17b-361, inclusive, to have a monthly personal fund allowance of sixty dollars.(P.A. 81-320; P.A. 84-354, S. 1, 2; P.A. 85-367, S. 1; P.A. 87-367, S. 1, 2; June Sp. Sess. P.A. 91-8, S. 7, 63; P.A. 93-262, S. 1, 87; June 18 Sp. Sess. P.A. 97-2, S. 151, 165; P.A. 98-239, S. 3, 35; P.A. 05-280, S. 26; P.A. 11-44, S. 79.)History: P.A. 84-354 increased the allowance from $28 to $30; P.A. 85-367 increased the allowance to $35; P.A. 87-367 increased the allowance from to $40 and added the language re adjustments beginning July 1, 1988; June Sp. Sess. P.A. 91-8 reduced the allowance to an amount equal to the minimum permitted under Title XIX, beginning October 1, 1991, and deleted the previous $40 allowance and the language re adjustments; 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. 17-134m transferred to Sec. 17b-272 in 1995; June 18 Sp. Sess. P.A. 97-2 added a provision effective July 1, 1998, requiring the commissioner to increase personal fund allowance annually to reflect any annual inflation adjustment in Social Security income, effective July 1, 1997; P.A. 98-239 substituted “July 1, 1998” for “October 1, 1991” as applicable date and increased the allowance to $50, deleting reference to “a level equal to the minimum permitted under Title XIX of the Social Security Act” and substituted “July 1, 1999” for “July 1, 1998” as applicable date for annual increases, effective July 1, 1998; P.A. 05-280 substituted reference to Sec. 17b-361 for reference to repealed Sec. 17b-362, effective July 1, 2005; P.A. 11-44 changed date from July 1, 1998, to July 1, 2011, increased personal fund allowance from $50 to $60 and deleted provision re annual allowance increase, effective July 1, 2011.Cited. 233 C. 557.
CT Gen Stat § 17b-273. (Formerly Sec. 17-134o) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-273. (Formerly Sec. 17-134o) - Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services.

 On and after April 1, 1983, the Commissioner of Social Services shall increase the payment rate for ambulance rides eligible under the state medical assistance program. Subject to federal approval, beginning with the fiscal year commencing July 1, 2015, the Commissioner of Social Services shall, within available appropriations, revise the payment methodology for ambulance services under the Medicaid program to apply a relative value unit system similar to the payment methodology used in the Medicare program. The basic life support nonemergency transport shall be designated as the base rate with the relative value unit system applied to basic life support nonemergency transports, basic life support emergency transports, advanced life support nonemergency transports, advanced life support emergency transports and paramedic intercept services. For purposes of this section, “relative value unit” means a numeric value for ambulance services relative to the value of a base level ambulance service.(P.A. 82-350, S. 1, 4; P.A. 93-262, S. 1, 87; June Sp. Sess. P.A. 15-5, S. 389.)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. 17-134o transferred to Sec. 17b-273 in 1995; June Sp. Sess. P.A. 15-5 added provisions re relative value unit system as payment methodology for ambulance services, effective July 1, 2015 (Revisor's note: The words “July 1, 2015” were inadvertently omitted from publication in the General Statutes, Revised to January 1, 2019).Cited. 233 C. 557.
CT Gen Stat § 17b-274a (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-274a - Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list.

 The Commissioner of Social Services may establish maximum allowable costs to be paid under the Medicaid program for generic prescription drugs based on, but not limited to, actual acquisition costs. The department shall implement and maintain a procedure to review and update the maximum allowable cost list at least annually, and shall report annually to the joint standing committee of the General Assembly having cognizance of matters relating to appropriations and the budgets of state agencies on its activities pursuant to this section.(May 9 Sp. Sess. P.A. 02-1, S. 118; May 9 Sp. Sess. P.A. 02-7, S. 53; P.A. 04-76, S. 17; P.A. 11-44, S. 126; P.A. 13-234, S. 95; P.A. 19-118, S. 8.)History: May 9 Sp. Sess. P.A. 02-1 effective July 1, 2002; May 9 Sp. Sess. P.A. 02-7 required department to implement and maintain a procedure to review and update the maximum allowable cost list at least annually and to report annually to the General Assembly, effective August 15, 2002; P.A. 04-76 deleted reference to “general assistance”; P.A. 11-44 deleted reference to state-administered general assistance, effective July 1, 2011; P.A. 13-234 deleted reference to ConnPACE, effective January 1, 2014; P.A. 19-118 deleted reference to Connecticut AIDS drug assistance program, effective July 1, 2019.
CT Gen Stat § 17b-274b (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-274b - Pharmaceutical purchasing initiative. Annual report.

 Section 17b-274b is repealed, effective July 1, 2005.(May 9 Sp. Sess. P.A. 02-1, S. 123; May 9 Sp. Sess. P.A. 02-7, S. 56; P.A. 04-76, S. 18; P.A. 05-280, S. 104.)
CT Gen Stat § 17b-274c (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-274c - Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program.

 (a) The Commissioner of Social Services may establish a voluntary mail order option for any maintenance prescription drug covered under the Medicaid program.(b) Notwithstanding any provision of the general statutes or regulations adopted pursuant thereto, the Commissioner of Social Services may provide a voluntary mail order option, regardless of a mail order pharmacy's location, for any prescription drug covered under the Medicare Part D program established pursuant to Public Law 108-173, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.(May 9 Sp. Sess. P.A. 02-1, S. 120; P.A. 04-76, S. 19; Nov. 2 Sp. Sess. P.A. 05-2, S. 5; P.A. 11-44, S. 127; P.A. 13-234, S. 96; P.A. 19-118, S. 9.)History: May 9 Sp. Sess. P.A. 02-1 effective July 1, 2002; P.A. 04-76 deleted reference to “general assistance”; Nov. 2 Sp. Sess. P.A. 05-2 designated existing provisions as Subsec. (a) and added Subsec. (b) authorizing commissioner to provide a voluntary mail order option for any prescription drug covered under the Medicare Part D program, effective December 1, 2005; P.A. 11-44 amended Subsec. (a) by deleting reference to state-administered general assistance, effective July 1, 2011; P.A. 13-234 amended Subsec. (a) to delete reference to ConnPACE, effective January 1, 2014; P.A. 19-118 amended Subsec. (a) by deleting reference to Connecticut AIDS drug assistance program, effective July 1, 2019.
CT Gen Stat § 17b-274e (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-274e - Prescription drugs. Utilization of cost-efficient dosages.

 A pharmacist, when filling a prescription under the Medicaid program, shall fill such prescription utilizing the most cost-efficient dosage, consistent with the prescription of a prescribing practitioner as defined in section 20-571, unless such pharmacist receives permission to do otherwise pursuant to the prior authorization requirements set forth in sections 17b-274 and 17b-491a.(June 30 Sp. Sess. P.A. 03-3, S. 82; P.A. 11-44, S. 129; P.A. 13-234, S. 98; P.A. 19-118, S. 10.)History: June 30 Sp. Sess. P.A. 03-3 effective August 20, 2003; P.A. 11-44 deleted reference to state-administered general assistance and made a technical change, effective July 1, 2011; P.A. 13-234 deleted reference to ConnPACE, effective January 1, 2014; P.A. 19-118 deleted reference to Connecticut AIDS drug assistance program, effective July 1, 2019.
CT Gen Stat § 17b-274f (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-274f - Step therapy program for Medicaid prescription drugs.

 (a) The Commissioner of Social Services may establish a step therapy program for prescription drugs in the Medicaid program. The commissioner may condition payment for such drugs on a requirement that the drug prescribed be from the preferred drug list established pursuant to section 17b-274d prior to any other drug being prescribed, provided any step therapy program shall: (1) Require that the patient try and fail on only one prescribed drug on the preferred drug list before another drug can be prescribed and eligible for payment; (2) not apply to any mental health–related drugs; and (3) require that the prescribing practitioner, when medications for the treatment of any medical condition are restricted due to the step therapy program, has access to a clear and convenient process to expeditiously request an override of such restriction from the Department of Social Services. The department shall expeditiously grant an override of such restriction whenever the prescribing practitioner demonstrates that: (A) The preferred treatment required under step therapy has been ineffective in the treatment of the patient's medical condition in the past; (B) the drug regimen required under the step therapy program is expected to be ineffective based on the known relevant physical or mental characteristics of the patient and the known characteristics of the drug regimen; (C) the preferred treatment required under the step therapy program will cause or will likely cause an adverse reaction or other physical harm to the patient; or (D) it is in the best interest of the patient to provide the recommended drug regimen based on medical necessity.(b) The duration of any step therapy program requirement shall not be longer than a period of thirty days, after which time the prescribing practitioner may deem such treatment as clinically ineffective for the patient. When the prescribing practitioner deems the treatment to be clinically ineffective, the drug prescribed and recommended by the practitioner shall be dispensed and covered under the Medicaid program.(P.A. 13-234, S. 126.)History: P.A. 13-234 effective July 1, 2013.
CT Gen Stat § 17b-274g (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-274g - Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements.

 (a) The Commissioner of Social Services shall not impose a cost-sharing requirement for the purchase of prescription drugs on the preferred drug list pursuant to section 17b-274d on a parent or needy caretaker relative otherwise eligible for Medicaid pursuant to section 17b-261. If the commissioner determines a cost-sharing requirement for nonpreferred drugs or other Medicaid services provided to such parent or needy caretaker relative is necessary, the commissioner shall, thirty days before imposing such requirement, notify (1) the joint standing committee of the General Assembly having cognizance of matters relating to human services, and (2) such parent or needy caretaker relative. The commissioner shall notify such parent or needy caretaker relative that he or she shall not be denied Medicaid service for inability to meet such cost-sharing requirement.(b) The commissioner shall not impose cost sharing for nonpreferred prescription drugs if a physician certifies that the nonpreferred drug is medically necessary.(c) If the commissioner imposes a cost-sharing requirement on a parent or needy caretaker relative otherwise eligible for Medicaid pursuant to section 17b-261, the commissioner shall submit a quarterly report, in accordance with the provisions of section 11-4a, to the joint standing committee of the General Assembly having cognizance of matters relating to human services on: (1) Any decrease in the number of visits to Medicaid providers by such parent or needy caretaker relative compared to the same time period before the cost-sharing requirement was imposed, and (2) any difference in the average number of visits to Medicaid providers made by such parent or needy caretaker relative compared to other Medicaid recipients of comparable health not subject to a cost-sharing requirement.(June Sp. Sess. P.A. 17-2, S. 201.)History: June Sp. Sess. P.A. 17-2 effective October 31, 2017.
CT Gen Stat § 17b-274h (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-274h - Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process.

 (a) The Commissioner of Social Services, in accordance with subsections (b) to (d), inclusive, of this section, may prohibit a pharmacy provider from automatically refilling certain prescription drugs for a medical assistance recipient, regardless of whether a recipient requests or consents to participation in an automatic prescription drug refill program. For any prescription subject to this prohibition, the Department of Social Services shall not make payment for a refill without an explicit verbal or written request for such payment from the recipient or the recipient's legal representative.(b) The commissioner shall submit recommendations on the types, classes or usage of prescription drugs to be subject to the automatic refill prohibition described in subsection (a) of this section, and for prescription drugs to be exempted from such prohibition, to the joint standing committee of the General Assembly having cognizance of matters relating to human services.(c) Not later than thirty days after the date of their receipt of such recommendations, the joint standing committee shall hold a public hearing on the recommendations, and notify the Commissioner of Social Services of the date and time of the public hearing. If the joint standing committee does not schedule the public hearing, the recommendations shall be deemed approved. At the conclusion of the public hearing held in accordance with the provisions of this section, the joint standing committee shall advise the commissioner of its approval, denial or modifications, if any, of the commissioner's recommendations. If the joint standing committee denies the commissioner's recommendations, the commissioner shall not implement such recommendations but may submit new recommendations to the committee for action in accordance with this subsection.(d) The commissioner shall submit the recommendations, as approved or modified in accordance with subsection (c) of this section, to the Pharmaceutical and Therapeutics Committee established pursuant to section 17b-274d.(P.A. 18-77, S. 1.)History: P.A. 18-77 effective June 1, 2018.
CT Gen Stat § 17b-275. (Formerly Sec. 17-134r) (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-275. (Formerly Sec. 17-134r) - Physician and pharmacy lock-in procedure.

 The Commissioner of Social Services shall implement, not later than October 1, 1984, a physician and pharmacy lock-in procedure to restrict the use of the health care delivery system by medical assistance recipients who are determined by the commissioner to have utilized medical services or items at a frequency or amount that is not medically necessary. The commissioner shall establish criteria and a case review system in order to make such determination. The commissioner shall require such recipients for a reasonable period of time to obtain medical services or items only from designated providers provided (1) the department gives the recipient notice and an opportunity for a hearing, in accordance with procedures established by the department, before such restrictions are imposed and (2) the department assures that the recipient has reasonable access, taking into account geographic location and reasonable travel time, to medical services of adequate quality.(P.A. 84-352, S. 1, 4; 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. 17-134r transferred to Sec. 17b-275 in 1995.Cited. 233 C. 557.
CT Gen Stat § 17b-276a (2020)
2020 Connecticut General Statutes|Title 17b - Social Services|Chapter 319v - Medical Assistance|Section 17b-276a - Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations.

 Notwithstanding any provision of the general statutes, on or before June 30, 2003, the Commissioner of Social Services, in consultation with the Secretary of the Office of Policy and Management, may submit an amendment to the Medicaid state plan or implement changes necessary to reduce expenditures for Medicaid nonemergency medical transportation, provided in implementing such efficiencies or reduction of services no category of eligible need shall be eliminated other than the reimbursement for personal vehicle use.(May 9 Sp. Sess. P.A. 02-7, S. 60.)History: May 9 Sp. Sess. P.A. 02-7 effective August 15, 2002.