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Section
17b-220
(Formerly Sec. 17-292g) - Reimbursement of medical providers.
Section
17b-221
(Formerly Sec. 17-292h) - Regulations. Reimbursement of hospitals.
Section
17b-221a
Revenue from Riverview Hospital to be used to pay Medicaid claims.
Section
17b-221b
Federal matching funds for special-education-related services. Portion to be used for Medicaid claims.
Section
17b-222
(Formerly Sec. 17-294) - “Humane institution” defined. Daily report.
Section
17b-223
(Formerly Sec. 17-295) - Support in humane institutions.
Section
17b-224
(Formerly Sec. 17-295b) - Liability of patient for per capita cost of care.
Section
17b-225
(Formerly Sec. 17-295c) - Availability of patient information to certain agencies.
Section
17b-226
(Formerly Sec. 17-295d) - Consideration of the costs mandated by collective bargaining agreements.
Section
17b-226a
Provider billing rates for goods and services.
Section
17b-227
(Formerly Sec. 17-297) - Payment for services in state humane institutions.
Section
17b-228
(Formerly Sec. 17-298) - Court action by state to recover unpaid portion of charges.
Section
17b-229
(Formerly Sec. 17-299) - Liability for prior charges.
Section
17b-230
(Formerly Sec. 17-300) - Claim of state on death of institution patient.
Section
17b-231
(Formerly Sec. 17-301) - Refund for support of persons in state institutions.
Section
17b-232
(Formerly Sec. 17-306) - Payment for board and care in boarding home, group home, chronic and convalescent hospital or other residential facility.
Section
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.
Sections
17b-234 and 17b-235
(Formerly Secs. 17-308 and 17-308a) - State payment toward support of patients at Newington Children's Hospital. Payment of retroactive claims.
Section
17b-236
(Formerly Sec. 17-309) - Admission of physically disabled children to The Children's Center.
Section
17b-237
(Formerly Sec. 17-310) - State aid toward support of children at center.
Section
17b-238
(Formerly Sec. 17-311) - State payments to hospitals.
Section
17b-239
(Formerly Sec. 17-312) - Payments to hospitals, emergency department physicians. Value-based methodologies. Readmission penalties. Compliance with federal law. Regulations.
Section
17b-239a
Payments to short-term general hospitals located in certain distressed municipalities and targeted investment communities with enterprise zones.
Section
17b-239b
Chronic disease hospitals. Prior authorization procedures. Regulations.
Section
17b-239c
Interim disproportionate share payments to short-term general hospitals.
Section
17b-239d
Payments for outpatient hospital services.
Section
17b-239e
Hospital rate plan. Supplemental pools and payments. Quality measures.
Section
17b-240
(Formerly Sec. 17-312a) - State payments to hospitals. Rates established by the Office of Health Care Access division of the Department of Public Health.
Section
17b-241
(Formerly Sec. 17-312b) - Payments to mental health and substance abuse residential facilities and freestanding detoxification centers.
Section
17b-241a
Payments to the Department of Mental Health and Addiction Services for targeted case management services. Submission of expenditures for intensive care management.
Section
17b-241b
Rate for private psychiatric residential treatment facilities.
Section
17b-242
(Formerly Sec. 17-313) - Payments to home health care agencies and home health aide agencies. Appeals. Hearings. Regulations.
Section
17b-242a
Prior authorization for Medicaid home health services, physical therapy, occupational therapy and speech therapy. Regulations.
Section
17b-242b
Pilot program for ventilator-dependent Medicaid recipients receiving medical care at home.
Section
17b-243
(Formerly Sec. 17-313a) - Payments to rehabilitation centers.
Section
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.
Section
17b-244a
Rates for payment to residential facilities for individuals with intellectual disabilities.
Section
17b-245
(Formerly Sec. 17-313c) - Payments to day care and vocational training programs sponsored by certain associations.
Section
17b-245a
Payments to federally qualified health centers.
Section
17b-245b
Federally qualified health centers. Reimbursement methodology in the Medicaid program.
Section
17b-245c
Demonstration project to provide telemedicine to Medicaid recipients at federally qualified community health centers.
Section
17b-245d
Information to be provided by federally qualified health centers. Adjustment of encounter rates.
Section
17b-245e
Telehealth services provided under the Medicaid program. Report.
Section
17b-245f
Diabetes. Program to recommend federally-qualified health centers and other covered entities. Working group. Medicaid waiver. Report to General Assembly. Regulations.
Section
17b-246
(Formerly Sec. 17-313d) - Rates to include reimbursement for reasonable costs mandated by collective bargaining agreements.
Section
17b-247
(Formerly Sec. 17-314l) - Contracts for stock and standard durable medical equipment. Payment of laboratory services.
Section
17b-248
(Formerly Sec. 17-316) - Liability of home or institution having life care contract.
Section
17b-249
(Formerly Sec. 17-317) - Support of mentally ill persons accused of crime.
Section
17b-250
(Formerly Sec. 17-318) - Payment of hospital expense of inmate transferred from correctional institution.
Section
17b-251
(Formerly Sec. 17a-307) - Connecticut Partnership for Long-Term Care: Outreach program established.
Section
17b-252
(Formerly Sec. 17-12q) - Connecticut Partnership for Long-Term Care.
Section
17b-253
(Formerly Sec. 17-12r) - Connecticut Partnership for Long-Term Care: Amendments to Medicaid regulations and state plan. Regulations.
Section
17b-254
(Formerly Sec. 17-12s) - Connecticut Partnership for Long-Term Care: Foundation funds and federal approval. Report.
Section
17b-255
(Formerly Sec. 17-12gg) - Insurance assistance for people with AIDS. Managed care insurance program for persons with AIDS.
Section
17b-256
(Formerly Sec. 17-314m) - Prescription drug and insurance assistance program for persons with acquired immunodeficiency syndrome or human immunodeficiency virus. Annual report. Enrollment in Medicare Part D.
Sections
17b-256a to 17b-256c
Reserved for future use.
Section
17b-256d
State medical assistance program. Use of federally-qualified community health centers.
Section
17b-256e
Reports re potential participants in affordable pharmaceutical drug program.
Section
17b-256f
Eligibility for Medicare savings programs. Regulations.
Section
17b-257
(Formerly Sec. 17-12ii) - Transferred to Chapter 319t, Sec. 17b-192.
Section
17b-257a
Qualified alien eligibility for Medicaid. Medical assistance for certain qualified alien children and pregnant women.
Section
17b-257b
Alien eligibility for state medical assistance. Regulations.
Section
17b-257c
Payments to long-term care facilities for care of illegal immigrants admitted to acute care or psychiatric hospitals. Eligibility. Regulations.
Section
17b-257d
Notice of terminating alien's state medical assistance.
Section
17b-258
(Formerly Sec. 17-12jj) - Health insurance assistance for unemployed persons.
Section
17b-259
(Formerly Sec. 17-274) - Medically necessary services.
Section
17b-259a
Imposition of cost sharing requirements on recipients of medical assistance. Exception.
Section
17b-259b
“Medically necessary” and “medical necessity” defined. Notice of denial of services. Regulations.
Section
17b-260
(Formerly Sec. 17-134a) - Acceptance of federal grants for medical assistance.
Section
17b-260a
Medicaid-financed home and community-based programs for individuals with acquired brain injury. Advisory committee.
Section
17b-260b
Home and community-based service waivers serving persons with acquired brain injury and persons with intellectual disability. Amendments.
Section
17b-260c
Medicaid waiver to provide coverage for family planning services.
Section
17b-260d
Home and community-based services waiver serving persons with acquired immune deficiency syndrome or human immunodeficiency virus.
Section
17b-260e
Federal funding reductions. Requirements for state to offset Medicaid reductions for family planning services.
Section
17b-261
(Formerly Sec. 17-134b) - Medicaid. Eligibility. Assets. Waiver from federal law.
Section
17b-261a
Transfer or assignment of assets resulting in the imposition of a penalty period. Return or partial return of asset. Regulations.
Section
17b-261b
Program eligibility determined by department. Spousal support.
Section
17b-261c
Medical assistance. Changes in circumstances.
Section
17b-261d
Disease management initiative. Implementation. Annual report.
Section
17b-261e
Mobile field hospital: HUSKY Health program coverage.
Section
17b-261f
Mobile field hospital account.
Section
17b-261g
Reimbursement under Medicaid program for certain therapy services provided to children by home health care agencies.
Section
17b-261h
Enrollment of HUSKY A recipients in available employer-sponsored private health insurance. Waiver from federal law. Regulations.
Section
17b-261i
Administrative services for Medicaid recipients. Regulations.
Section
17b-261j
Easy Breathing model in HUSKY Health program.
Section
17b-261k
Protected amount for the community spouse of an institutionalized Medicaid applicant. Regulations.
Section
17b-261l
Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations.
Section
17b-261m
Administrative services organization. Contract for services. Establishment of rates.
Section
17b-261n
Coverage for low-income adults under Medicaid program. Amendment to state Medicaid plan to establish alternative benefit package. Waiver application re eligibility and coverage. Regulations.
Section
17b-261o
Imposition of penalty period when undue hardship exists. Exception.
Section
17b-261p
Notice re determination of penalty period. Filing claim of undue hardship. Nursing home involvement.
Section
17b-261q
Action by nursing home facility to collect debt for unpaid care provided during penalty period.
Section
17b-261r
Determination of applied income. Notice. Action by nursing home facility to recover applied income.
Section
17b-261s
Copy of complaint, judgment or decree to be mailed in action by nursing home facility.
Section
17b-261t
Contents of Medicaid benefits cards.
Section
17b-261u
Alternate coverage after loss of Medicaid eligibility for parent or needy caretaker relative. Review. Quarterly reports.
Section
17b-261v
Parent or needy caretaker relative. Review of Medicaid coverage options.
Section
17b-262
(Formerly Sec. 17-134d) - Regulations. Admissions to nursing home facilities.
Section
17b-263
(Formerly Sec. 17-274b) - Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services.
Section
17b-263a
Amendment to state Medicaid plan to include assertive community treatment teams and community support services.
Section
17b-263b
Pilot program for individuals ages nineteen to twenty-one with a mental disorder and chronic health condition. Eligibility.
Section
17b-263c
Medical homes. Regulations.
Section
17b-264
(Formerly Sec. 17-134e) - Extension of other public assistance provisions.
Section
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.
Section
17b-265a
Physicians providing services to dually eligible Medicaid and Medicare clients. Rates.
Section
17b-265b
Reimbursement rates for pathologists.
Section
17b-265c
Medicaid and Medicare dually eligible pilot program.
Section
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.
Section
17b-265e
Medicare Part D Supplemental Needs Fund. Payment by department for nonformulary prescription drugs. Rebates required for pharmaceutical manufacturers. Contracts for supplemental rebates.
Section
17b-265f
Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy.
Section
17b-265g
Health insurer. Duties owed to the state and Commissioner of Social Services.
Section
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.
Section
17b-266a
Contract with pharmacy benefits management organization.
Section
17b-267
(Formerly Sec. 17-134h) - Use of fiscal intermediaries in connection with medical assistance.
Section
17b-268
(Formerly Sec. 17-134i) - Withdrawal of member of group providing services.
Section
17b-269
(Formerly Sec. 17-134j) - Bonding of officers and employees.
Section
17b-270
(Formerly Sec. 17-134k) - Liability of agency and its officers.
Section
17b-271
(Formerly Sec. 17-134l) - Termination of agreement.
Section
17b-272
(Formerly Sec. 17-134m) - Personal fund allowance.
Section
17b-273
(Formerly Sec. 17-134o) - Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services.
Section
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.
Section
17b-274a
Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list.
Section
17b-274b
Pharmaceutical purchasing initiative. Annual report.
Section
17b-274c
Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program.
Section
17b-274d
Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Automatic refill recommendations. Supplemental rebates. Administrative hearings.
Section
17b-274e
Prescription drugs. Utilization of cost-efficient dosages.
Section
17b-274f
Step therapy program for Medicaid prescription drugs.
Section
17b-274g
Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements.
Section
17b-274h
Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process.
Section
17b-275
(Formerly Sec. 17-134r) - Physician and pharmacy lock-in procedure.
Section
17b-276
(Formerly Sec. 17-134s) - Competitive bidding process for nonemergency transportation services. Disclosure of payment source. Fee schedules.
Section
17b-276a
Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations.
Section
17b-276b
Nonemergency medical transportation services. Prior authorization.
Section
17b-276c
Payment for medically necessary mode of transportation service.
Section
17b-277
(Formerly Sec. 17-134u) - Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children.
Section
17b-277a
Program to inform applicants to the Healthy Start program of services provided by the Nurturing Families Network.
Section
17b-277b
Healthy Start program. Plan. Review.
Section
17b-277c
Medicaid coverage for donor breast milk. Requirements. Regulations.
Section
17b-278
(Formerly Sec. 17-134z) - Home leave absences for certain medical assistance recipients.
Section
17b-278a
Coverage for treatment for smoking cessation.
Section
17b-278b
Medical assistance for breast and cervical cancer.
Section
17b-278c
Amendment to state Medicaid plan to provide mammogram examinations to certain women.
Section
17b-278d
Amendment to state Medicaid plan and state children's health insurance plan to provide neuropsychological testing for children diagnosed with cancer.
Section
17b-278e
Amendment to state Medicaid plan to exclude payment for hospital-acquired conditions.
Section
17b-278f
Amendment to state Medicaid plan to provide treatment for tuberculosis.
Section
17b-278g
Medical assistance for eyeglasses and contact lenses. Regulations.
Section
17b-278h
Medical assistance for chiropractic services. Regulations.
Section
17b-278i
Medical assistance for customized wheelchairs. Repairs. Refurbished equipment, parts and components. Regulations.
Section
17b-278j
Complex rehabilitation technology. Definitions. Report.
Section
17b-278k
Electronic transmission of prescriptions for durable medical equipment.
Section
17b-279
(Formerly Sec. 17-134aa) - Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report.
Section
17b-280
(Formerly Sec. 17-134bb) - Reimbursement rate for covered outpatient drugs under the Medicaid program.
Section
17b-280a
Payment for over-the-counter medications under medical assistance program. Exceptions.
Section
17b-280b
Proposed revisions to reimbursement methodology for covered outpatient drugs under the Medicaid program. Legislative review.
Section
17b-280c
Methadone maintenance. Minimum rates. Rate reductions for failure to meet performance measures.
Section
17b-281
(Formerly Sec. 17-134cc) - Payment of oxygen products and services under medical assistance program.
Section
17b-281a
Procedure for preauthorization of purchase or rental of durable medical equipment.
Section
17b-281b
Used durable medical equipment. Payments to vendors or suppliers.
Section
17b-281c
Authority of commissioner to modify medical equipment fee schedules.
Section
17b-282
(Formerly Sec. 17-134dd) - Medical assistance for certain children and elderly and disabled persons.
Section
17b-282a
Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons.
Section
17b-282b
Implementation of state-wide dental plan. Waiver.
Section
17b-282c
Nonemergency dental services. Regulations.
Section
17b-282d
Commissioner to modify nonemergency dental services. Regulations.
Section
17b-282e
Orthodontic services for Medicaid recipients under twenty-one years of age.
Section
17b-282f
Mobile dental clinics. Medicaid coverage areas. Regulations.
Section
17b-283
(Formerly Sec. 17-134ee) - Medicaid home and community-based services waiver program for children and young adults with disabilities.
Section
17b-283a
Active duty armed forces member application for Medicaid home or community-based program on behalf of eligible spouse or child.
Section
17b-284
(Formerly Sec. 17-134ff) - Medical assistance for certain employed persons.
Section
17b-285
(Formerly Sec. 17-134gg) - Assignment of spousal support of an institutionalized person or person in need of institutional care.
Section
17b-286
Medicaid management information system. Reports.
Section
17b-287
(Formerly Sec. 17-292a) - Assistance for person who needs hospitalization and is not a resident of any town.
Section
17b-288
Organ transplant account. Regulations.
Section
17b-289
Short title: HUSKY and HUSKY Plus Act. HUSKY Plan, Part A and HUSKY Plan, Part B participants.
Section
17b-290
Definitions.
Section
17b-291
Children's health insurance plan.
Section
17b-292
HUSKY B. Eligibility. Expedited eligibility under HUSKY B. Presumptive eligibility under Medicaid.
Section
17b-292a
Information for redetermination of eligibility under HUSKY Plan.
Section
17b-293
Minimum benefit coverage under HUSKY Plan, Part B.
Section
17b-294
HUSKY Plus programs.
Section
17b-294a
HUSKY Plus program. Administration. Eligibility. Regulations.
Section
17b-295
Cost-sharing requirements under HUSKY B.
Section
17b-296
Provision for clinicians in managed care plans. Provision by managed care organizations of services under HUSKY Plan.
Section
17b-297
Outreach programs for HUSKY Plan, Part A and Part B.
Section
17b-297a
Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY B.
Section
17b-297b
Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Health program.
Section
17b-298
Regulations re quality of care under HUSKY Plan. Outcome criteria. Sanctions. Reports re HUSKY Plans to General Assembly.
Section
17b-299
Applications. Approval.
Section
17b-300
Notification of member's change of circumstance.
Section
17b-301
Recovery of payment for false statement, misrepresentation or concealment.
Sections
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.
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-303
Income disregard. Application for federal waiver.
Section
17b-304
Regulations.
Section
17b-305
Reserved for future use.
Section
17b-306
Plan for a system of preventive health services for children in the HUSKY Health program.
Section
17b-306a
Child health quality improvement program. Purpose and scope. Annual reports.
Section
17b-307
Primary care case management pilot program.
Sections
17b-308 to 17b-310
Reserved for future use.
Section
17b-311
Charter Oak Health Plan.
Sections
17b-312 to 17b-319
Reserved for future use.