Health & Home Care
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Medicaid State Plan Amendments
Current State Plan Amendments submitted to the Centers for Medicare & Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS).
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Person-Centered Medical Home Plus (PCMH+)
PCMH+ provides person-centered, comprehensive and coordinated care. The purpose of this webpage is to provide PCMH+ Participating Entities with program information and updates.
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The Department is conducting an evaluation and development of primary care, by engaging stakeholders. The stakeholder group is called The Primary Care Program Advisory Committee and is made up of a diverse group of stakeholders such as providers and CEOs, that represent the non-federally qualified health centers and federally qualified health centers that serve our members. The links for the recordings of the live meetings, slide decks, and meeting minutes are available on the webpage.
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The Department of Social Services is proud to announce a unique partnership with Hewlett Packard Enterprise and Sandata Technologies, LLC. in the implementation of Electronic Visit Verification (EVV).
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Reimbursement and Certificate of Need
The primary functions of Reimbursement and Certificate of Need (CON) include establishment of payment rates for Connecticut's Mediciad medical and residential care services, cost report auditing, and performing certificate of need reviews for nursing facilities, residential care homes, and ICF/MR development projects. Cost based rates are issued on an annual basis by the unit for services including hospitals, nursing facilities, home health care, clinics, and community residences for the elderly and disabled; as well as state-operated psychiatric hospitals, ICF/MR and federal Medicaid waiver services.
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The Department of Social Services is responsible for the Certificate of Need (CON) process for nursing homes, residential care homes and intermediate care facilities for individuals with intellectual disabilities.
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Medicaid Methadone Clinic Reimbursement
The Office of Reimbursement and Certificate of Need (CON) is responsible for establishing Medicaid reimbursement methodologies for chemical maintenance clinics (methadone).
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Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Medicaid
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Federally Qualified Health Center (FQHC) Medicaid Reimbursement
Federally Qualified Health Centers provide health care for uninsured and underserved populations. Reimbursement and CON is responsible for review of FQHC cost reports, and establishment of Medicaid reimbursement.
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Durable Medical Equipment (DME) Medicaid Reimbursement
The Department is revisiting reimbursement rates for Durable Medial Equipment (DME) to comply with federal regulations.
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Online Hospital Notification of Newborn
***Hospital Use Only*** Please use this online form to submit the hospital notification of newborn information to DSS.
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Connecticut AIDS Drug Assistance Program (CADAP)
CADAP is a service that helps eligible Connecticut residents with HIV or AIDS afford the cost of medications approved by the U.S. Food and Drug Administration.
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Medicaid Hospital Reimbursement
The Office of Reimbursement and Certificate of Need (CON) is responsible for establishing Medicaid reimbursement methodologies for inpatient services, outpatient hospital services, Disproportionate Share Hospital (DSH) payments and hospital supplemental payments.
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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.