Conn. Gen. Stat. § 17b-263. Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 1958
States that the commissioner shall contract, through a competitive bidding process, for recipient surveillance and review services. Such contract shall authorize the imposition of utilization controls, including but not limited to, prior authorization requirements based …
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Conn. Gen. Stat. § 17b-263c. Medical homes. Regulations: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2011
Establishes medical homes as a model for delivering care to recipients under the medical assistance programs.
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Conn. Gen. Stat. § 17b-265. Department subrogated to right of recovery of applicant or recipient. Utilization of personal health insurance. Insurance coverage of medical assistance recipients. Limitations: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 1967
States that the department shall be subrogated to any right of recovery or indemnification which the enrollee or legally liable relative has against such a private insurer or other third party for the medical costs …
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Conn. Gen. Stat. § 17b-265a. Physicians providing services to dually eligible Medicaid and Medicare clients. Rates: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2002
The Commissioner of Social Services shall, within available Medicaid appropriations, grant a rate increase to physicians who provide services to clients who are eligible under both Medicaid and Medicare.
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Conn. Gen. Stat. § 17b-265c. Medicaid and Medicare dually eligible pilot program: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2004
The Commissioner of Social Services, to the extent permitted by federal law, shall amend the Medicaid state plan to establish a pilot program serving not more than five hundred elderly or disabled state medical assistance …
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Conn. Gen. Stat. § 17b-266. Purchase of insurance. Contracts for comprehensive health care on a prepayment or per capita basis. Certification of providers by commissioner. Payment of capitation claims. Deposit of funds for expenditures for children’s health programs and services: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 1958
The Commissioner of Social Services may require recipients of Medicaid or other public assistance to receive medical care on a prepayment or per capita basis, in accordance with federal law and regulations, if such prepayment …
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Conn. Gen. Stat. § 17b-275. Physician and pharmacy lock-in procedure: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 1958
States that the Commissioner of Social Services shall implement 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 …
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Conn. Gen. Stat. § 17b-276b. Nonemergency medical transportation services. Prior authorization: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2009
States that all brokers of nonemergency medical transportation services that are provided under contract with the Department of Social Services shall provide a decision on a request for prior authorization for hospital discharge nonemergency ambulance …
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Conn. Gen. Stat. § 17b-276c. Payment for medically necessary mode of transportation service: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2012
The Commissioner of Social Services shall only authorize payment for the mode of transportation service that is medically necessary for a recipient of assistance under a medical assistance program administered by the Department of Social …
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Conn. Gen. Stat. § 17b-28. Council on Medical Assistance Program Oversight. Duties. Appointments. Standing subcommittee. Report: General Provision – Connecticut
Status: Enacted Year Enacted: 1994
Establishes a Council on Medical Assistance Program Oversight, which is tasked with monitoring and making recommendations about available services comparable to those already in the Medicaid state plan, sufficiency of accessible primary care providers, specialty …
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Conn. Gen. Stat. § 17b-28b. Competitive bidding for Medicaid managed care plans: Department of Social Services—General Provisions – Connecticut
Status: Enacted Year Enacted: 1996
The Department of Social Services may award, on the basis of a competitive bidding procedure, contracts for Medicaid managed care health plans.
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Conn. Gen. Stat. § 17b-28c. Application for a federal waiver for pilot program based on principles of national Program of All-Inclusive Care for the Elderly (PACE): General Provisions – Connecticut
Status: Enacted Year Enacted: 1997
Allows the Commissioner of Social Services to submit an application for a federal waiver for the purpose of conducting a pilot program based on the principles of the national Program for All-Inclusive Care for the …
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Conn. Gen. Stat. § 17b-306. Plan for a system of preventive health services for children in the HUSKY Health program: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2007
Establishes a plan for a system of preventive health for children under HUSKY A and B, with the goal to improve health outcomes for all children enrolled and reduce racial and ethnic health disparities among …
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Conn. Gen. Stat. § 17b-307. Primary care case management pilot program: Medical Assistance – Connecticut
Status: Enacted Year Enacted: 2007
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 …
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Conn. Gen. Stat. § 17b-341. Self-pay rates regulated. Provider agreement. Rate adjustments. Appeals: Long Term Care – Connecticut
Status: Enacted Year Enacted: 1979
States that the Commissioner of Social Services shall determine the rates to be charged to self-pay patients if the facility does not have a provider agreement with the state to provide services to receipients of …
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Conn. Gen. Stat. § 17b-349. Adjustment of rates of payment to community health centers and freestanding medical clinics participating in Medicaid program: Long-Term Care – Connecticut
Status: Enacted Year Enacted: 1958
States that the rates paid by the state to community health centers and freestanding medical clinics participating in the Medicaid program may be adjusted annually on the basis of the cost reports submitted to the …
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