Learn More
Log In
Sign Up
Conn. Gen. Stat. ch. 319v – Medical Assistance | Midpage
Collections
Connecticut General Statutes
Title 17b
Chapter 319v
Conn. Gen. Stat. ch. 319v
Medical Assistance
17b-221b
Federal matching funds for special-education-related services. Portion to be used for Medicaid claims.
17b-222
(Formerly Sec. 17-294). “Humane institution” defined. Daily report.
17b-223
(Formerly Sec. 17-295). Support in humane institutions.
17b-224
(Formerly Sec. 17-295b). Liability of patient for per capita cost of care.
17b-225
(Formerly Sec. 17-295c). Availability of patient information to certain agencies.
17b-226
(Formerly Sec. 17-295d). Consideration of the costs mandated by collective bargaining agreements.
17b-226a
Provider billing rates for goods and services.
17b-227
(Formerly Sec. 17-297). Payment for services in state humane institutions.
17b-228
(Formerly Sec. 17-298). Court action by state to recover unpaid portion of charges. Limitation on recovery of charges from estate of deceased former humane institution patient.
17b-229
(Formerly Sec. 17-299). Liability for prior charges.
17b-230
(Formerly Sec. 17-300). Claim of state on death of institution patient. Limitation on recovery.
17b-231
(Formerly Sec. 17-301). Refund for support of persons in state institutions.
17b-232
(Formerly Sec. 17-306). Payment for board and care in boarding home, group home, chronic and convalescent hospital or other residential facility.
17b-233
(Formerly Sec. 17-307). Care of handicapped and other children at Newington Children's Hospital. Children with drug-related conditions not to be admitted.
17b-236
(Formerly Sec. 17-309). Admission of physically disabled children to The Children's Center.
17b-237
(Formerly Sec. 17-310). State aid toward support of children at center.
17b-238
(Formerly Sec. 17-311). State payments to hospitals.
17b-239
(Formerly Sec. 17-312). Payments to hospitals, emergency department physicians. Value-based methodologies. Readmission penalties. Compliance with federal law. Regulations.
17b-239a
Payments to short-term general hospitals located in certain distressed municipalities and targeted investment communities with enterprise zones.
17b-239b
Chronic disease hospitals. Prior authorization procedures. Regulations.
17b-239c
Interim disproportionate share payments to short-term general hospitals.
17b-239d
Payments for outpatient hospital services.
17b-239e
Hospital rate plan. Supplemental pools and payments. Quality measures.
17b-241
(Formerly Sec. 17-312b). Payments to mental health and substance abuse residential facilities and freestanding detoxification centers.
17b-241a
Payments to the Department of Mental Health and Addiction Services for targeted case management services. Submission of expenditures for intensive care management.
17b-242
(Formerly Sec. 17-313). Payments to home health care agencies and home health aide agencies. Appeals. Hearings. Authorized practitioners. Regulations.
17b-242a
Prior authorization for Medicaid home health services, physical therapy, occupational therapy and speech therapy. Regulations.
17b-243
(Formerly Sec. 17-313a). Payments to rehabilitation centers.
17b-244
(Formerly Sec. 17-313b). Payments to private facilities providing functional or vocational services for severely handicapped persons and payments for residential care. Establishment of rate. Regulations.
17b-244a
Rates for payment to residential facilities for individuals with intellectual disabilities.
17b-245
(Formerly Sec. 17-313c). Payments to day care and vocational training programs sponsored by certain associations.
17b-245b
Federally qualified health centers. Reimbursement methodology in the Medicaid program.
17b-245c
Demonstration project to provide telemedicine to Medicaid recipients at federally qualified community health centers.
17b-245d
Information to be provided by federally qualified health centers. Adjustment of encounter rates.
17b-245e
Telehealth services provided under the Medicaid program. Report.
17b-245f
Diabetes. Program to recommend federally-qualified health centers and other covered entities. Working group. Medicaid waiver. Report to General Assembly. Regulations.
17b-245g
Telehealth services under the Connecticut medical assistance program. Audio-only telehealth services. Coverage criteria. Reimbursement.
17b-246
(Formerly Sec. 17-313d). Rates to include reimbursement for reasonable costs mandated by collective bargaining agreements.
17b-247
(Formerly Sec. 17-314l). Contracts for stock and standard durable medical equipment. Payment of laboratory services.
17b-248
(Formerly Sec. 17-316). Liability of home or institution having life care contract.
17b-250
(Formerly Sec. 17-318). Payment of hospital expense of inmate transferred from correctional institution.
17b-252
(Formerly Sec. 17-12q). Connecticut Partnership for Long-Term Care.
17b-253
(Formerly Sec. 17-12r). Connecticut Partnership for Long-Term Care: Amendments to Medicaid regulations and state plan. Regulations.
17b-254
(Formerly Sec. 17-12s). Connecticut Partnership for Long-Term Care: Foundation funds and federal approval. Report.
17b-256a to 17b-256c
Conn. Gen. Stat. § 17b-256a to 17b-256c
17b-256f
Eligibility for Medicare savings programs. Regulations.
17b-257a
Qualified alien eligibility for Medicaid. Medical assistance for certain qualified alien children and pregnant women.
17b-257b
Alien eligibility for state medical assistance. Regulations.
17b-257c
Payments to long-term care facilities for care of illegal immigrants admitted to acute care or psychiatric hospitals. Eligibility. Regulations.
17b-257d
Notice of terminating alien's state medical assistance.
17b-257e
Postpartum care for women without legal immigration status. Income eligibility.
17b-259b
“Medically necessary” and “medical necessity” defined. Notice of denial of services. Regulations.
17b-260
(Formerly Sec. 17-134a). Acceptance of federal grants for medical assistance.
17b-260a
Medicaid-financed home and community-based programs for individuals with acquired brain injury. Advisory committee.
17b-260b
Home and community-based service waivers serving persons with acquired brain injury and persons with intellectual disability. Amendments.
17b-260e
Federal funding reductions. Requirements for state to offset Medicaid reductions for family planning services.
17b-261
(Formerly Sec. 17-134b). Medicaid. Eligibility. Assets. Waiver from federal law. State-funded medical assistance for children regardless of immigration status.
17b-261a
Transfer or assignment of assets resulting in the imposition of a penalty period. Return or partial return of asset. Regulations.
17b-261b
Program eligibility determined by department. Spousal support.
17b-261c
Medical assistance. Changes in circumstances.
17b-261d
Disease management initiative. Implementation. Annual report.
17b-261e
Mobile field hospital: HUSKY Health program coverage.
17b-261f
Mobile field hospital account.
17b-261g
Reimbursement under Medicaid program for certain therapy services provided to children by home health care agencies.
17b-261h
Enrollment of HUSKY A recipients in available employer-sponsored private health insurance. Waiver from federal law. Regulations.
17b-261j
Easy Breathing model in HUSKY Health program.
17b-261l
Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations.
17b-261m
Administrative services organization. Contract for services. Establishment of rates.
17b-261o
Imposition of penalty period when undue hardship exists. Exception.
17b-261p
Notice re determination of penalty period. Filing claim of undue hardship. Nursing home involvement.
17b-261q
Action by nursing home facility to collect debt for unpaid care provided during penalty period.
17b-261r
Determination of applied income. Notice. Action by nursing home facility to recover applied income.
17b-261s
Copy of complaint, judgment or decree to be mailed in action by nursing home facility.
17b-261u
Alternate coverage after loss of Medicaid eligibility for parent or needy caretaker relative. Review. Quarterly reports.
17b-261v
Parent or needy caretaker relative. Review of Medicaid coverage options.
17b-261w
Prior authorization, utilization review criteria for medical assistance. Waivers. Suspensions. Notice requirements.
17b-261x
Minimum protected resource allowance for community spouse of institutionalized Medicaid recipient.
17b-261y
Department to compile annual data on denial of Medicaid eligibility in any matter in which Probate Court issued order or decree re assets or income affecting Medicaid eligibility.
17b-262
(Formerly Sec. 17-134d). Regulations. Admissions to nursing home facilities.
17b-263
(Formerly Sec. 17-274b). Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services.
17b-263c
Medical homes. Regulations.
17b-264
(Formerly Sec. 17-134e). Extension of other public assistance provisions.
17b-265
(Formerly Sec. 17-134f). Department subrogated to right of recovery of applicant or recipient. Utilization of personal health insurance. Insurance coverage of medical assistance recipients. Limitations. Allocation of child support obligor funds.
17b-265a
Physicians providing services to dually eligible Medicaid and Medicare clients. Rates.
17b-265b
Reimbursement rates for pathologists.
17b-265c
Medicaid and Medicare dually eligible pilot program.
17b-265d
Definition of full benefit dually eligible Medicare Part D beneficiary. Prescription drug coverage under Medicare Part D. Copayment coverage. Enrollment in benchmark plan. Commissioner's enrollment authority.
17b-265f
Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy.
17b-265g
Health insurer. Duties owed to the state and Commissioner of Social Services.
17b-266
(Formerly Sec. 17-134g). 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.
17b-267
(Formerly Sec. 17-134h). Use of fiscal intermediaries in connection with medical assistance.
17b-268
(Formerly Sec. 17-134i). Withdrawal of member of group providing services.
17b-269
(Formerly Sec. 17-134j). Bonding of officers and employees.
17b-270
(Formerly Sec. 17-134k). Liability of agency and its officers.
17b-271
(Formerly Sec. 17-134l). Termination of agreement.
17b-272
(Formerly Sec. 17-134m). Personal fund allowance.
17b-273
(Formerly Sec. 17-134o). Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services.
17b-274
(Formerly Sec. 17-134q). Periodic investigations of pharmacies by Division of Criminal Justice. Brand medically necessary. Procedure for prior approval to dispense brand name drug. Disclosure.
17b-274c
Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program.
17b-274d
Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Automatic refill recommendations. Supplemental rebates. Administrative hearings.
17b-274e
Prescription drugs. Utilization of cost-efficient dosages.
17b-274f
Step therapy program for Medicaid prescription drugs.
17b-274g
Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements.
17b-274h
Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process.
17b-275
(Formerly Sec. 17-134r). Physician and pharmacy lock-in procedure.
17b-276
(Formerly Sec. 17-134s). Competitive bidding process for nonemergency transportation services. Disclosure of payment source. Fee schedules.
17b-276a
Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations.
17b-276b
Nonemergency medical transportation services. Prior authorization.
17b-276c
Payment for medically necessary mode of transportation service.
17b-277
(Formerly Sec. 17-134u). Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. Postpartum care.
17b-277a
Program to inform applicants to the Healthy Start program of services provided by the Connecticut Home Visiting System.
17b-277c
Medicaid coverage for donor breast milk. Requirements. Regulations.
17b-277d
Medicaid payment for maternity services. Regulations.
17b-278
(Formerly Sec. 17-134z). Home leave absences for certain medical assistance recipients.
17b-278a
Coverage for treatment for smoking cessation.
17b-278b
Medical assistance for breast and cervical cancer.
17b-278c
Amendment to state Medicaid plan to provide mammogram examinations to certain women.
17b-278d
Amendment to state Medicaid plan and state children's health insurance plan to provide neuropsychological testing for children diagnosed with cancer.
17b-278e
Amendment to state Medicaid plan to exclude payment for hospital-acquired conditions.
17b-278f
Amendment to state Medicaid plan to provide treatment for tuberculosis.
17b-278g
Medical assistance for eyeglasses and contact lenses. Regulations.
17b-278i
Medical assistance for customized wheelchairs. Definitions. Repairs. Refurbished equipment, parts and components. Regulations.
17b-278j
Complex rehabilitation technology. Definitions. Report.
17b-278k
Electronic transmission of prescriptions for durable medical equipment.
17b-278l
Medical assistance for obesity treatment, surgery. Definitions. State plan amendments.
17b-278m
Medicaid coverage of biomarker testing. Definitions. Requirements for coverage. Appeals.
17b-278n
Medicaid coverage of rapid whole genome sequencing for critically ill infants. Data use restrictions. Medical necessity criteria.
17b-279
(Formerly Sec. 17-134aa). Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report.
17b-280
(Formerly Sec. 17-134bb). Reimbursement rate for covered outpatient drugs under the Medicaid program.
17b-280a
Payment for over-the-counter medications under medical assistance program. Exceptions.
17b-280b
Proposed revisions to reimbursement methodology for covered outpatient drugs under the Medicaid program. Legislative review.
17b-280c
Methadone maintenance. Minimum rates. Increase for providers receiving lowest weekly rates of reimbursement.
17b-281
(Formerly Sec. 17-134cc). Payment of oxygen products and services under medical assistance program.
17b-281a
Procedure for preauthorization of purchase or rental of durable medical equipment.
17b-281b
Used durable medical equipment. Payments to vendors or suppliers.
17b-281c
Authority of commissioner to modify medical equipment fee schedules.
17b-282
(Formerly Sec. 17-134dd). Medical assistance for certain children and elderly and disabled persons.
17b-282a
Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons.
17b-282b
Implementation of state-wide dental plan. Waiver.
17b-282c
Nonemergency dental services. Regulations.
17b-282d
Commissioner to modify nonemergency dental services. Regulations.
17b-282e
Orthodontic services for Medicaid recipients under twenty-one years of age.
17b-282f
Mobile dental clinics. Medicaid coverage areas. Regulations.
17b-283
(Formerly Sec. 17-134ee). Medicaid home and community-based services waiver program for children and young adults with disabilities.
17b-283a
Active duty armed forces member application for Medicaid home or community-based program on behalf of eligible spouse or child.
17b-284
(Formerly Sec. 17-134ff). Medical assistance for certain employed persons.
17b-285
(Formerly Sec. 17-134gg). Assignment of spousal support of an institutionalized person or person in need of institutional care.
17b-288
Organ transplant account. Regulations.
17b-290
Definitions.
17b-292
HUSKY B. Eligibility. Expedited eligibility under HUSKY B. Presumptive eligibility under Medicaid. State-funded coverage for certain children not otherwise covered. Postpartum care.
17b-292b
Prenatal care under HUSKY B. Unborn child option. Income eligibility.
17b-295
Cost-sharing requirements under HUSKY B.
17b-297a
Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY B.
17b-297b
Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Health program.
17b-300
Notification of member's change of circumstance.
17b-301
Recovery of payment for false statement, misrepresentation or concealment.
17b-304
Regulations.
17b-305
Conn. Gen. Stat. § 17b-305
17b-306
Plan for a system of preventive health services for children in the HUSKY Health program.
17b-307
Primary care case management pilot program.
17b-307a
Medicaid reimbursement system incentivizing collaboration between primary care providers and behavioral and mental health care providers for HUSKY Health program members.
17b-307b
Medicaid reimbursement for suicide risk assessments and other mental health evaluations and services provided at school-based health centers or public schools.
17b-308 to 17b-310
Conn. Gen. Stat. § 17b-308 to 17b-310
17b-312
Medicaid waiver to seek federal funds to support the Covered Connecticut program.
17b-313
Innovation waiver for health care expansion.
17b-314 to 17b-319
Conn. Gen. Stat. § 17b-314 to 17b-319