For Providers
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Medicaid Nursing Home Reimbursement
Under the Connecticut Medicaid program, payment rates for nursing homes are set on a cost-based prospective basis in accordance with Section 17b-340 of the Connecticut General Statutes and Section 17-311-52 of the Regulations of Connecticut State Agencies.
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Medicaid Nursing Home Reimbursement Modernization Acuity Based Methodology
The Connecticut Department of Social Services (DSS) will be transitioning nursing facility reimbursement from a cost-based methodology to a prospective acuity-based or case mix, payment system. Visit this webpage for more information.
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Connecticut Medicaid Rate Setting Reimbursement and CON Unit Nursing Home Cost Reports.
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Medicaid Reimbursement information for the Birth to Three program.
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School Based Child Health (SBCH)
Medicaid School Based Child Health reimbursement information for School Districts and Providers.
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Children Health Insurance Program (CHIP) State Plan Amendment
HUSKY B is Connecticut’s Children’s Health Insurance Program (CHIP, also known as Title XXI). HUSKY B provides a free or low cost health insurance program for children and youth up to age 19 for families who are not income eligible for HUSKY A.
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Continuing Care Facility (CCF) are required to register with the Department of Social Service by filing required disclosure documents. The Disclosure Statement provides residents the necessary information regarding the nature of the program, financial considerations, rights and privileges under the Residency Agreement.
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Coronavirus Relief Fund Payments
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Community Living Arrangements (CLA)
Community Living Arrangements (CLA) also known as group homes, offer individuals the opportunity to live in the community.
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Connecticut Residential Care Homes rates are set in accordance with state regulation. Cost reports for privately operated facilities are also used for rate setting purposes.
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Welcome to our online toolkit for partners in service to Connecticut residents eligible for the HUSKY Health program. We hope you find this content informative and useful in helping clients access and maintain eligibility.