reglab/statecodes huggingface dataset:
2023 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.
2023 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.
2023 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.
2023 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.
2023 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.)
2023 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.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-285. (Formerly Sec. 17-134gg). - Assignment of spousal support of an institutionalized person or person in need of institutional care.

Notwithstanding any provision of the general statutes, an institutionalized person or person in need of institutional care who applies for Medicaid may assign to the Commissioner of Social Services the right of support derived from the assets of the community spouse of such person but only if (1) the assets of the institutionalized person or person in need of institutional care do not exceed the Medicaid program asset limit; and (2) the institutionalized person or person in need of institutional care cannot locate the community spouse; or the community spouse is unable to provide information regarding his or her own assets. If such assignment is made or if the institutionalized person or person in need of institutional care lacks the ability to execute such an assignment due to physical or mental impairment, the commissioner may seek recovery of any medical assistance paid on behalf of the institutionalized person or person in need of institutional care up to the amount of the community spouse's assets that are in excess of the community spouse protected amount as of the initial month of Medicaid eligibility.
(P.A. 91-396; P.A. 93-262, S. 1; June Sp. Sess. P.A. 07-2, S. 6.)
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. 17-134gg transferred to Sec. 17b-285 in 1995; June Sp. Sess. P.A. 07-2 inserted “Notwithstanding any provision of the general statutes”, replaced “shall” with “may” re assigning right of support to commissioner, replaced “spouse” with “community Spouse”, revised criteria re when person applying for Medicaid may assign to commissioner the right to support derived from assets of a spouse, specified that assignments may be made only if assets of institutionalized person or person in need of institutional care do not exceed Medicaid program asset limit and such person cannot locate the community spouse, or the community spouse is unable to provide information regarding assets, deleted provision re bringing support proceeding against applicant's spouse without assignment and added provision re commissioner's authority to seek recovery of medical assistance paid on behalf of institutionalized person or person in need of institutional care, effective July 1, 2007.
Cited. 233 C. 557.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-286. - Medicaid management information system. Reports.

Section 17b-286 is repealed, effective October 1, 2003.
(P.A. 93-262, S. 1, 87; 93-418, S. 35, 41; 93-435, S. 59, 95; P.A. 03-268, S. 13.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-287. (Formerly Sec. 17-292a). - Assistance for person who needs hospitalization and is not a resident of any town.

Section 17b-287 is repealed, effective March 1, 2004.
(1959, P.A. 536; P.A. 83-575, S. 7, 10; P.A. 86-415, S. 8; May Sp. Sess. P.A. 92-16, S. 15, 89; P.A. 93-262, S. 1, 87; June 30 Sp. Sess. P.A. 03-3, S. 97.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-289. - Short title: HUSKY and HUSKY Plus Act. HUSKY Plan, Part A and HUSKY Plan, Part B participants.

Section 17b-289 is repealed, effective June 19, 2015.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 1, 23; P.A. 05-44, S. 1; P.A. 07-185, S. 5; P.A. 15-69, S. 45.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-291. - Children's health insurance plan.

Section 17b-291 is repealed, effective June 19, 2015.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 3, 23; June Sp. Sess. P.A. 00-2, S. 20, 53; P.A. 03-19, S. 42; P.A. 15-69, S. 45.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-292a. - Information for redetermination of eligibility under HUSKY Plan.

Section 17b-292a is repealed, effective June 19, 2015.
(P.A. 01-137, S. 8, 9; P.A. 09-9, S. 26; P.A. 15-69, S. 45.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-292b. - Prenatal care under HUSKY B. Unborn child option. Income eligibility.

As used in this section, “unborn child option” means a state option available under the Children's Health Insurance Program pursuant to Title XXI of the Social Security Act, as amended from time to time, that allows states to consider an unborn child a low-income child eligible for coverage of prenatal care if other conditions of eligibility under the Children's Health Insurance Program are met. Not later than April 1, 2022, the Commissioner of Social Services shall provide medical assistance for prenatal care through the unborn child option under the medical assistance program established pursuant to section 17b-292. The commissioner shall amend the state plan for the Children's Health Insurance Program to provide such medical assistance to needy pregnant women whose family have an income not exceeding two hundred fifty-eight per cent of the federal poverty level.
(P.A. 21-176, S. 4; June Sp. Sess. P.A. 21-2, S. 344.)
History: June Sp. Sess. P.A. 21-2 inserted income eligibility for needy pregnant women.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-293. - Minimum benefit coverage under HUSKY Plan, Part B.

Section 17b-293 is repealed, effective August 20, 2003.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 5, 23; P.A. 99-284, S. 50, 60; June 30 Sp. Sess. P.A. 03-3, S. 96.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-294. - HUSKY Plus programs.

Section 17b-294 is repealed, effective July 1, 2010.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 6, 23; P.A. 98-8, S. 1, 5; P.A. 10-179, S. 160.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-294a. - HUSKY Plus program. Administration. Eligibility. Regulations.

Section 17b-294a is repealed, effective July 6, 2021.
(June Sp. Sess. P.A. 10-1, S. 33; P.A. 15-69, S. 26; P.A. 16-19, S. 1; P.A. 21-123, S. 8.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-296. - Provision for clinicians in managed care plans. Provision by managed care organizations of services under HUSKY Plan.

Section 17b-296 is repealed, effective July 1, 2010.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 8, 23; June Sp. Sess. P.A. 01-2, S. 23; June Sp. Sess. P.A. 01-9, S. 129, 131; P.A. 10-179, S. 160.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-297. - Outreach programs for HUSKY Plan, Part A and Part B.

Section 17b-297 is repealed, effective June 19, 2015.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 9, 23; June 30 Sp. Sess. P.A. 03-3, S. 57; P.A. 07-185, S. 8; P.A. 10-179, S. 68; P.A. 11-44, S. 171; P.A. 15-69, S. 45.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-297a. - Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY B.

The Commissioner of Social Services may seek a waiver, if required, under Title XXI of the Social Security Act to authorize the use of funds received under said title to promote the enrollment of children in HUSKY B who are eligible for benefits under other income-based assistance programs including, but not limited to, free or reduced school lunch programs.
(P.A. 01-137, S. 6, 9; P.A. 15-69, S. 28.)
History: P.A. 01-137 effective July 1, 2001; P.A. 15-69 changed “the HUSKY Plan” to “HUSKY B”, effective June 19, 2015.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-297b. - Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Health program.

(a) To the extent permitted by federal law, the Commissioners of Social Services and Education, in consultation with the board of directors, shall jointly establish procedures for the sharing of information contained in applications for free and reduced price meals under the National School Lunch Program for the purpose of determining whether children participating in said program are eligible for coverage under the HUSKY Health program. The Commissioner of Social Services shall take all actions necessary to ensure that children identified as eligible for the HUSKY Health program, are enrolled in the appropriate plan.
(b) The Commissioner of Education shall establish procedures whereby an individual may apply for the HUSKY Health program, at the same time such individual applies for the National School Lunch Program.
(P.A. 01-137, S. 7, 9; P.A. 03-19, S. 43; P.A. 07-185, S. 9; P.A. 09-148, S. 15; P.A. 15-69, S. 29.)
History: P.A. 01-137 effective July 1, 2001; P.A. 03-19 made technical changes in Subsec. (a), effective May 12, 2003; P.A. 07-185 amended Subsec. (a) by providing that commissioner shall ensure that children identified as eligible for either HUSKY Plan, Part A or Part B, are enrolled in the appropriate plan, effective July 1, 2007; P.A. 09-148 added provisions re consultation with board of directors and re SustiNet Plan, effective July 1, 2011; P.A. 15-69 deleted references to SustiNet Plan and changed references to HUSKY Plan, Part A and B to “HUSKY Health program”, effective June 19, 2015.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-298. - Regulations re quality of care under HUSKY Plan. Outcome criteria. Sanctions. Reports re HUSKY Plans to General Assembly.

Section 17b-298 is repealed, effective July 1, 2010.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 10, 23; P.A. 10-179, S. 160.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-299. - Applications. Approval.

Section 17b-299 is repealed, effective June 19, 2015.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 11, 23; P.A. 01-137, S. 5, 9; P.A. 10-13, S. 7; P.A. 15-69, S. 45; 15-247, S. 31.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-300. - Notification of member's change of circumstance.

The applicant for a HUSKY B member shall notify the Department of Social Services of any change in circumstance that could affect the member's continued eligibility for coverage under HUSKY B within thirty days of such change. A member shall be disenrolled if the commissioner determines the member is no longer eligible for participation in such plan for reasons including, but not limited to, those specified in section 17b-301 and the nonpayment of premiums.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 12, 23; P.A. 10-179, S. 63; P.A. 15-69, S. 30.)
History: Oct. 29 Sp. Sess. P.A. 97-1 effective October 30, 1997; P.A. 10-179 replaced provision requiring applicant to notify managed care plan with provision requiring applicant to notify Department of Social Services, effective July 1, 2010; P.A. 15-69 replaced references to enrollee with references to HUSKY B member, and changed “HUSKY Plan, Part B” to “HUSKY B”, effective June 19, 2015.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-301. - Recovery of payment for false statement, misrepresentation or concealment.

Any payment made by the state on behalf of an enrollee as a result of any false statement, misrepresentation or concealment of or failure to disclose income or health insurance coverage by an applicant responsible for maintaining insurance may be recovered by the state.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 13, 23.)
History: Oct. 29 Sp. Sess. P.A. 97-1 effective October 30, 1997.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-301a to 17b-301p. - Prohibited acts re medical assistance: Definitions. Prohibited acts re medical assistance; penalties. Attorney General's investigation of prohibited acts; civil action. Civil action by individual; consent for withdrawal; manner of service; complaint under seal; intervening in action by Attorney General. Prosecution by Attorney General; withdrawal; settlement; limits on individual's participation; division of proceeds; attorneys' fees and costs. Civil action by individual when Attorney General declines to proceed; procedure; division of proceeds; attorneys' fees and costs. Attorney General's pursuit of claim through alternate remedy. Civil action by individual who committed prohibited act re medical assistance; reduction of proceeds; dismissal from action. Court's jurisdiction over civil actions brought by certain individuals. State not liable for expenses. Discrimination in employment because of acts in furtherance of civil action prohibited; remedies; attorneys' fees and costs. Time for bringing civil action; state's intervention in action. Standard of proof in civil action. Effect of final judgment in criminal proceeding on civil action. Remedies not exclusive. Report re medical assistance civil actions.

Sections 17b-301a to 17b-301p, inclusive, are repealed, effective June 13, 2014.
(Sept. Sp. Sess. P.A. 09-5, S. 1–15, 18; Sept. Sp. Sess. P.A. 09-7, S. 181; P.A. 10-26, S. 1; P.A. 11-44, S. 153–159; 11-61, S. 119; P.A. 14-217, S. 257.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-302. - Public involvement in design and implementation of HUSKY Plan, Part B. Submission of plan for public involvement to General Assembly.

Section 17b-302 is repealed, effective July 1, 2010.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 14, 23; P.A. 10-179, S. 160.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-303. - Income disregard. Application for federal waiver.

Section 17b-303 is repealed, effective June 19, 2015.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 15, 23; P.A. 98-8, S. 3, 5; P.A. 15-69, S. 45.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-304. - Regulations.

The Commissioner of Social Services shall implement the policies and procedures necessary to carry out the provisions of sections 17b-292, 17b-295, 17b-297a, 17b-297b and 17b-300 while in the process of adopting such policies and procedures in regulation form, provided notice of intent to adopt the regulations is published on the Department of Social Services' Internet web site and the eRegulations System not later than twenty days after implementation. Such policies and procedures shall be valid until the time final regulations are effective.
(Oct. 29 Sp. Sess. P.A. 97-1, S. 20, 23; P.A. 15-69, S. 33; P.A. 21-123, S. 4.)
History: Oct. 29 Sp. Sess. P.A. 97-1 effective October 30, 1997; P.A. 15-69 replaced “commissioner” with “Commissioner of Social Services”, replaced references to Secs. 17b-292 to 17b-303, 17b-257b, 17b-261 and Sec. 16 of Oct. 29 Sp. Sess. P.A. 97-1 with references to Secs. 17b-292, 17b-294a, 17b-295, 17b-297a, 17b-297b and 17b-300 and replaced reference to Connecticut Law Journal with reference to department's Internet web site and eRegulations System, effective June 19, 2015; P.A. 21-123 deleted reference to section 17b-294a, effective July 6, 2021.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-306. - Plan for a system of preventive health services for children in the HUSKY Health program.

(a) The Commissioner of Social Services, in consultation with the Commissioner of Public Health, shall develop and within available appropriations implement a plan for a system of preventive health services for children under HUSKY A and B. The goal of the system shall be to improve health outcomes for all children enrolled in the HUSKY Health program and to reduce racial and ethnic health disparities among children. Such system shall ensure that services under the federal Early and Periodic Screening, Diagnostic and Treatment Program are provided to children enrolled in HUSKY A.
(b) The plan shall:
(1) Establish a coordinated system for preventive health services for HUSKY A and B beneficiaries including, but not limited to, services under the federal Early and Periodic Screening, Diagnostic and Treatment Program, ophthalmologic and optometric services, oral health care, care coordination, chronic disease management and periodicity schedules based on standards specified by the American Academy of Pediatrics;
(2) Require the Department of Social Services to track the utilization of services in the system of preventive health services by HUSKY A and B beneficiaries to ensure that such beneficiaries receive all the services available under the system and to track the health outcomes of children; and
(3) Include payment methodologies to create financial incentives and rewards for health care providers who participate and provide services in the system, such as case management fees, pay for performance, and payment for technical support and data entry associated with patient registries.
(P.A. 07-185, S. 13; June Sp. Sess. P.A. 07-2, S. 10; P.A. 15-69, S. 31.)
History: P.A. 07-185 effective July 1, 2007; June Sp. Sess. P.A. 07-2 amended Subsec. (a) by specifying that implementation of plan shall be “within available appropriations”, amended Subsec. (b)(1) by replacing “vision care” with “ophthalmologic and optometric services”, amended Subsec. (b)(2) by deleting “electronically” re tracking utilization of services, and amended Subsec. (d) by deleting commissioner's responsibility to report on “the implementation of” plan, effective July 1, 2007; P.A. 15-69 amended Subsecs. (a) and (b) to change “HUSKY Plan, Part A and Part B” to “HUSKY A and B”, “HUSKY Plan, Part A” to “HUSKY A”, “HUSKY Plan” to “HUSKY Health program” and “Diagnosis” to “Diagnostic”, and deleted former Subsecs. (c) and (d) re preventive health services plan and report, effective June 19, 2015.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-307. - Primary care case management pilot program.

(a) Notwithstanding any provision of the general statutes, the Department of Social Services shall develop and implement a pilot program for the delivery of health care services through a system of primary care case management to not less than one thousand individuals who are otherwise eligible to receive HUSKY A benefits. Primary care providers participating in the primary care case management pilot program shall provide program beneficiaries with primary care medical services and arrange for specialty care as needed. For purposes of this section, “primary care case management” means a system of care in which the health care services for program beneficiaries are coordinated by a primary care provider chosen by or assigned to the beneficiary. The Commissioner of Social Services shall begin enrollment for the primary care case management system not later than April 1, 2008.
(b) The Department of Social Services shall expand the pilot program for the delivery of health care services through the primary care case management system, as described in subsection (a) of this section, to include primary care providers in the towns of Torrington and Putnam. Not later than July 1, 2010, the department shall expand the pilot program to include the town of Putnam. Not later than October 1, 2010, the department shall expand the pilot program to include the town of Torrington. The Commissioner of Social Services may seek a waiver from federal law for the purpose of expanding the primary care case management system pursuant to this subsection.
(c) Not later than July 1, 2011, the commissioner shall report, in accordance with section 11-4a, 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 on the expansion of the pilot program.
(June Sp. Sess. P.A. 07-2, S. 16; P.A. 10-166, S. 1; P.A. 15-69, S. 34.)
History: June Sp. Sess. P.A. 07-2 effective July 1, 2007; P.A. 10-166 designated existing provisions as Subsec. (a) and amended same to delete provisions requiring development of plan by November 1, 2007, and submission of plan and replace reference to primary care case management system with primary care case management pilot program, added Subsec. (b) re expansion of pilot program to include towns of Torrington and Putnam and added Subsec. (c) re commissioner's report, effective June 7, 2010; P.A. 15-69 amended Subsec. (a) to change “HUSKY Plan, Part A” to “HUSKY A”, effective June 19, 2015.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-307a. - Medicaid reimbursement system incentivizing collaboration between primary care providers and behavioral and mental health care providers for HUSKY Health program members.

(a) As used in this section:
(1) “Collaborative Care Model” or “CoCM” means the integrated delivery of behavioral health and primary care services by a primary care team that includes a primary care provider, a behavioral care manager, a psychiatric consultant and a data base used by the behavioral care manager to track patient progress;
(2) “CoCM codes” means a billing system developed by the Centers for Medicare and Medicaid Services that provide Medicare rates for services provided in the Collaborative Care Model; and
(3) “HUSKY Health” has the same meaning as provided in section 17b-290.
(b) To the extent permissible under federal law, the Commissioner of Social Services shall implement a Medicaid reimbursement system that incentivizes collaboration between primary care providers and behavioral and mental health care providers on an integrated care plan for a HUSKY Health program member. Such reimbursement system shall recognize that multiple providers may be involved in providing care. The commissioner may adopt the Collaborative Care Model to expand access to behavioral and mental health services for HUSKY Health program members and utilize the CoCM codes approved by the Centers for Medicare and Medicaid Services to provide reimbursement to participating providers. The commissioner may take into consideration the potential impact on federal reimbursement when implementing such system.
(P.A. 22-47, S. 59.)
History: P.A. 22-47 effective July 1, 2022.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-311. - Charter Oak Health Plan.

Section 17b-311 is repealed, effective January 1, 2014.
(June Sp. Sess. P.A. 07-2, S. 23; P.A. 10-3, S. 11; 10-179, S. 64; P.A. 11-25, S. 13; 11-44, S. 80; P.A. 13-234, S. 156.)
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-312. - Medicaid waiver to seek federal funds to support the Covered Connecticut program.

The Commissioner of Social Services shall seek, in accordance with the provisions of section 17b-8 and in consultation with the Insurance Commissioner and the Office of Health Strategy established under section 19a-754a, a waiver under Section 1115 of the Social Security Act, as amended from time to time, to seek federal funds to support the Covered Connecticut program established under section 19a-754c. Upon approval by the Centers for Medicare and Medicaid Services, the Commissioner of Social Services shall implement the waiver.
(June Sp. Sess. P.A. 21-2, S. 17.)
History: June Sp. Sess. P.A. 21-2 effective June 23, 2021.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319v - Medical Assistance › Section 17b-313. - Innovation waiver for health care expansion.

The Commissioner of Social Services may seek a state innovation waiver pursuant to Section 1332 of the Affordable Care Act or enter into contractual agreements, including, but not limited to, contractual agreements with other states, in accordance with established procedures, as may be necessary for the discharge of the commissioner's duties under public act 21-176*.
(P.A. 21-176, S. 6.)
*Note: Public act 21-176 is entitled “An act Concerning Medical Assistance for Children and Adults without Health Care Coverage”. (See Reference Table captioned “Public Acts of 2021” in Volume 3 which lists the sections amended, created or repealed by the act.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319ww - Preventative Services to Families › Section 17b-850. (Formerly Sec. 17-580). - Program for shelter services for victims of household abuse.

(a) The Department of Social Services shall establish a program for shelter services for victims of household abuse and may contract with any nonprofit organization to provide such services in the locality served by such nonprofit organization. The program may include, but not be limited to, the following: (1) Rental and maintenance of a shelter facility; (2) provision for support staff; (3) provision for emergency food and living expenses; and (4) such social services as are deemed necessary by the Commissioner of Social Services.
(b) The Commissioner of Social Services shall adopt regulations in accordance with chapter 54 necessary to implement the purposes of this section.
(P.A. 79-506, S. 1, 3; P.A. 93-262, S. 1, 87.)
History: Sec. 17-31k transferred to Sec. 17-580 in 1991; P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of human resources, effective July 1, 1993; Sec. 17-580 transferred to Sec. 17b-850 in 1995.
Cited. 233 C. 557.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319ww - Preventative Services to Families › Section 17b-851. (Formerly Sec. 17-618). - Families-in-training programs.

The Department of Social Services shall establish, within available appropriations, families-in-training programs to provide parent education and community support services to expectant parents and parents of children under the age of three. Such services shall include, but not be limited to, providing information and advice to parents on their child's language, cognitive, social and motor development, visiting a participant's home on a regular basis, organizing group meetings for neighborhood parents of young children and providing referrals for parents who need special assistance or services. Such programs shall provide for the recruitment of participants.
(P.A. 90-128, S. 2; 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 human resources, effective July 1, 1993; Sec. 17-618 transferred to Sec. 17b-851 in 1995.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319ww - Preventative Services to Families › Section 17b-851a. - Program for reduction of teenage pregnancies.

The Department of Social Services shall develop, within existing appropriations, a comprehensive plan, in consultation with the Department of Public Health, the Department of Education and the Department of Children and Families, for the reduction in the number of teenage pregnancies.
(P.A. 94-232, S. 2; P.A. 95-257, S. 12, 21, 58.)
History: P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with Commissioner and Department of Public Health, effective July 1, 1995.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319ww - Preventative Services to Families › Section 17b-854. (Formerly Sec. 8-222a). - Limitation on state financial assistance to human resource development agencies.

The Commissioner of Social Services shall not render financial assistance in any one municipality to more than one human resource development agency designated under subdivision (a) of subsection (2) of section 17b-852 and one human resource development agency designated under subdivision (b) of said subsection, for applications received after July 1, 1969.
(1969, P.A. 757, S. 3; P.A. 77-614, S. 534, 610; P.A. 93-262, S. 1, 87.)
History: P.A. 77-614 specified commissioner of human resources, “commissioner” having previously referred to commissioner of community affairs, effective January 1, 1979; P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of human resources, effective July 1, 1993; Sec. 8-222a transferred to Sec. 17b-854 in 1995.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319ww - Preventative Services to Families › Section 17b-855. (Formerly Sec. 8-223). - Research activity of commissioner.

The Commissioner of Social Services is authorized to undertake and carry out research activities, including, but not limited to, (a) examination of the needs of municipalities, metropolitan areas and the state, with respect to services, facilities and programs such as housing, schools, community recreation and health facilities, transportation systems, refuse disposal and other public services; (b) examination of methods to meet those needs; (c) examination of the means by which the state and the municipalities can effectively analyze and project those needs; and (d) examination of the feasibility of establishing and using information data and systems and data banks in order to provide comprehensive information, to construct indicators of economic, physical and social change, and to project economic, physical and social trends.
(1967, P.A. 522, S. 28; P.A. 77-614, S. 535, 610; P.A. 93-262, S. 1, 87.)
History: P.A. 77-614 specified commissioner of human resources, “commissioner” having previously referred to commissioner of community affairs, effective January 1, 1979; P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of human resources, effective July 1, 1993; Sec. 8-223 transferred to Sec. 17b-855 in 1995.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319ww - Preventative Services to Families › Section 17b-856. - Grants to hospitals.

The Department of Social Services may provide grants to hospitals to pay for outreach and eligibility determinations for assistance to families. For the fiscal years ending June 30, 1994, and June 30, 1995, the sum of two million dollars appropriated to the department may be used for said grants and for fiscal years ending June 30, 1996, and subsequent fiscal years, such amount shall be adjusted to reflect the aggregate of inflation in authorized hospital gross revenues determined pursuant to section 19a-649.
(P.A. 93-229, S. 1, 21; 93-282, S. 1, 87; 93-435, S. 59, 95; P.A. 06-64, S. 2.)
History: P.A. 93-229 effective July 1, 1993; P.A. 93-262 and P.A. 93-435 authorized substitution of commissioner and department of social services for commissioner and department of income maintenance, effective July 1, 1993 (Revisor's note: In 1995 a reference to “sections 19a-167 to 19a-167f, inclusive” was changed editorially by the Revisors to “sections 19a-167e and 19a-167f” to reflect the repeal of Secs. 19a-167 to 19a-167d, inclusive); P.A. 06-64 deleted reference to repealed Sec. 19a-648, effective July 1, 2006.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319x - Nursing Home Resident Day User Fee › Section 17b-323. - Request for waiver of federal requirements re uniform and broad-based user fees.

Not later than fifteen days after approval of the Medicaid state plan amendment required to implement subdivision (4) of subsection (f) of section 17b-340 and prior to July 1, 2017, the Commissioner of Social Services shall seek approval from the Centers for Medicare and Medicaid Services for, and shall file a provider user fee uniformity waiver request regarding, the user fee set forth in sections 17b-320 and 17b-321. The request for approval shall include a request for a waiver of federal requirements for uniform and broad-based user fees in accordance with 42 CFR 433.68, to (1) exempt from the user fee prescribed by section 17b-320 any nursing home that is owned and operated as of May 1, 2005, by the legal entity that is registered as a continuing care facility with the Department of Social Services, in accordance with section 17b-521, regardless of whether such nursing home participates in the Medicaid program and any nursing home licensed after May 1, 2005, that is owned and operated by the legal entity that is registered as a continuing care facility with the Department of Social Services in accordance with section 17b-521; and (2) impose a user fee in an amount less than the fee determined pursuant to section 17b-320 as necessary to meet the requirements of 42 CFR 433.68(e)(2) on (A) nursing homes owned by a municipality, and (B) nursing homes licensed for more than two hundred thirty beds. Notwithstanding any provision of the general statutes, the provisions of section 17b-8 shall not apply to the waiver sought pursuant to this section.
(P.A. 05-251, S. 82; 05-280, S. 50; P.A. 06-196, S. 140; June Sp. Sess. P.A. 17-2, S. 615.)
History: P.A. 05-251 effective July 1, 2005; P.A. 05-280 amended Subdiv. (1) to replace provision re nursing facility owned by entity that provides continuing care in exchange for transfer of assets or entrance fee with provision re nursing home that is owned and operated, as of May 1, 2005, by legal entity registered as a continuing care facility with the Department of Social Services and any nursing home licensed after May 1, 2005, that is owned and operated by legal entity registered as a continuing care facility with the Department of Social Services, effective July 1, 2005; P.A. 06-196 made technical changes, effective June 7, 2006; June Sp. Sess. P.A. 17-2 added “and prior to July 1, 2017”, re approval of Medicaid state plan amendment required to implement Sec. 17b-340(f)(4), effective October 31, 2017.
See Ch. 211c re request and approval for exemption from nursing home user fee.
2023 Connecticut General Statutes › Title 17b - Social Services › Chapter 319x - Nursing Home Resident Day User Fee › Section 17b-324. - Expenditure of net gain in revenue by nursing home.

For the fiscal year ending June 30, 2006, any nursing home that receives a net gain in revenue shall not apply such net gain in revenue to wage and salary increases provided to the administrator, assistant administrator, owners or related party employees. For the purposes of this section, “net gain in revenue” means the difference between the rate in effect June 30, 2005, and the rate in effect on July 1, 2005, multiplied by the number of resident days eligible for state payment for the period between July 1, 2005, and June 30, 2006, less resident day user fees accrued for the period between July 1, 2005, and June 30, 2006. The Commissioner of Social Services may compare expenditures for wages, and salary increases provided to administrators, assistant administrators, owners or related party employees for the fiscal year ending June 30, 2006, to such expenditures in the year ending June 30, 2005, to verify compliance with this section. In the event that the commissioner determines that a facility did apply its net gain in revenue to wage and salary increases for administrators, assistant administrators, owners or related party employees, the commissioner shall recover such amounts from the facility through rate adjustments or other means. The commissioner may require facilities to file cost reporting forms, in addition to the annual cost report, as may be necessary, to verify the appropriate application of any net gain.
(P.A. 05-251, S. 85; 05-280, S. 52; P.A. 06-196, S. 141.)
History: P.A. 05-251 effective July 1, 2005; P.A. 05-280 deleted requirement that at least 85% of net gain in revenue be applied to increased wages, benefits and staffing, replaced “state revenue taxes” with “resident day user fees”, removed requirement that commissioner compare expenditures for fiscal year 2006 wages, benefits and staffing to 2005 expenditures, allowing commissioner instead to compare fiscal year expenditures on salary increases provided to administrators, assistant administrators, owners or related party employees to verify compliance with the provisions of section, and added provision authorizing commissioner to recover, through facility rate adjustments, any net gains in revenue applied to wage and salary increases for administrators, assistant administrators, owners or related party employees, effective July 1, 2005; P.A. 06-196 made a technical change, effective June 7, 2006.