There is a newer version of the Connecticut General Statutes
2009 Connecticut Code
Title 17b Social Services
Chapter 319v Medical Assistance
- Sec. 17b-220. (Formerly Sec. 17-292g). Reimbursement of medical providers.
- Sec. 17b-221. (Formerly Sec. 17-292h). Regulations. Reimbursement of hospitals.
- Sec. 17b-221a. Revenue from Riverview Hospital to be used to pay Medicaid claims.
- Sec. 17b-221b. Federal matching funds for special-education-related services. Portion to be used for Medicaid claims.
- Sec. 17b-222. (Formerly Sec. 17-294). "Humane institution" defined. Daily report.
- Sec. 17b-223. (Formerly Sec. 17-295). Support in humane institutions.
- Sec. 17b-224. (Formerly Sec. 17-295b). Liability of patient for per capita cost of care.
- Sec. 17b-225. (Formerly Sec. 17-295c). Availability of patient information to certain agencies.
- Sec. 17b-226. (Formerly Sec. 17-295d). Consideration of the costs mandated by collective bargaining agreements.
- Sec. 17b-227. (Formerly Sec. 17-297). Payment for support in state hospitals.
- Sec. 17b-228. (Formerly Sec. 17-298). Court action by state to recover unpaid portion of charges.
- Sec. 17b-229. (Formerly Sec. 17-299). Liability for prior charges.
- Sec. 17b-230. (Formerly Sec. 17-300). Claim of state on death of institution patient.
- Sec. 17b-231. (Formerly Sec. 17-301). Refund for support of persons in state institutions.
- Sec. 17b-232. (Formerly Sec. 17-306). Payment for board and care in boarding home, group home, convalescent hospital or other residential facility.
- Sec. 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.
- Sec. 17b-234. (Formerly Sec. 17-308). State payment toward support of patients at Newington Children's Hospital.
- Sec. 17b-235. (Formerly Sec. 17-308a). Payment of retroactive claims.
- Sec. 17b-236. (Formerly Sec. 17-309). Admission of physically disabled children to The Children's Center.
- Sec. 17b-237. (Formerly Sec. 17-310). State aid toward support of children at center.
- Sec. 17b-238. (Formerly Sec. 17-311). State payments to hospitals.
- Sec. 17b-239. (Formerly Sec. 17-312). Payments to hospitals. Regulations.
- Sec. 17b-239a. Payments to short-term general hospitals located in certain distressed municipalities and targeted investment communities with enterprise zones.
- Sec. 17b-239b. Chronic disease hospitals. Prior authorization procedures. Regulations.
- Sec. 17b-240. (Formerly Sec. 17-312a). Payments to hospitals by the Office of Health Care Access.
- Sec. 17b-241. (Formerly Sec. 17-312b). Payments to mental health and substance abuse residential facilities and free-standing detoxification centers.
- Sec. 17b-241a. Payments to the Department of Mental Health and Addiction Services for targeted case management services.
- Sec. 17b-242. (Formerly Sec. 17-313). Payments to home health care agencies and homemaker-home health aide agencies. Appeals. Hearings. Regulations.
- Sec. 17b-242a. Medicaid home health services. Prior authorization requirements. Regulations.
- Sec. 17b-243. (Formerly Sec. 17-313a). Payments to rehabilitation centers.
- Sec. 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.
- Sec. 17b-244a. Rates for payments to residential facilities for mentally retarded and autistic persons.
- Sec. 17b-245. (Formerly Sec. 17-313c). Payments to day care and vocational training programs sponsored by certain associations.
- Sec. 17b-245a. Payments to federally qualified health centers.
- Sec. 17b-245b. Federally qualified health centers. Reimbursement methodology in the Medicaid program.
- Sec. 17b-246. (Formerly Sec. 17-313d). Rates to include reimbursement for reasonable costs mandated by collective bargaining agreements.
- Sec. 17b-247. (Formerly Sec. 17-314l). Contracts for stock and standard durable medical equipment. Payment of laboratory services.
- Sec. 17b-248. (Formerly Sec. 17-316). Liability of home or institution having life care contract.
- Sec. 17b-249. (Formerly Sec. 17-317). Support of mentally ill persons accused of crime.
- Sec. 17b-250. (Formerly Sec. 17-318). Payment of hospital expense of inmate transferred from correctional institution.
- Sec. 17b-251. (Formerly Sec. 17a-307). Connecticut Partnership for Long-Term Care: Outreach program established.
- Sec. 17b-252. (Formerly Sec. 17-12q). Connecticut Partnership for Long-Term Care.
- Sec. 17b-253. (Formerly Sec. 17-12r). Connecticut Partnership for Long-Term Care: Amendments to Medicaid regulations and state plan. Regulations.
- Sec. 17b-254. (Formerly Sec. 17-12s). Connecticut Partnership for Long-Term Care: Foundation funds and federal approval. Report.
- Sec. 17b-255. (Formerly Sec. 17-12gg). Insurance assistance for people with AIDS. Managed care insurance program for persons with AIDS.
- Sec. 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.
- Secs. 17b-256a to 17b-256c.
- Sec. 17b-256d. State medical assistance program. Use of federally-qualified community health centers.
- Sec. 17b-256e. Reports re potential participants in affordable pharmaceutical drug program.
- Sec. 17b-257. (Formerly Sec. 17-12ii).
- Sec. 17b-257a. Qualified alien eligibility for Medicaid.
- Sec. 17b-257b. Alien eligibility for state medical assistance.
- Sec. 17b-257c. Payments to long-term care facilities for care of illegal immigrants admitted to acute care or psychiatric hospitals. Eligibility. Regulations.
- Sec. 17b-258. (Formerly Sec. 17-12jj). Health insurance assistance for unemployed persons.
- Sec. 17b-259. (Formerly Sec. 17-274). Medically necessary services.
- Sec. 17b-259a. Imposition of cost sharing requirements on recipients of medical assistance. Exception.
- Sec. 17b-260. (Formerly Sec. 17-134a). Acceptance of federal grants for medical assistance.
- Sec. 17b-260a. Medicaid-financed home and community-based program for individuals with acquired brain injury.
- Sec. 17b-260b. Home and community-based service waivers serving persons with acquired brain injury and persons with mental retardation. Amendments.
- Sec. 17b-260c. Medicaid waiver to provide coverage for family planning services.
- Sec. 17b-261. (Formerly Sec. 17-134b). Medicaid. Eligibility. Assets. Waiver from federal law.
- Sec. 17b-261a. Transfer or assignment of assets resulting in the imposition of a penalty period. Regulations.
- Sec. 17b-261b. Program eligibility determined by department. Spousal support.
- Sec. 17b-261c. Medical assistance. Changes in circumstances.
- Sec. 17b-261d. Disease management initiative. Implementation. Annual report.
- Sec. 17b-261e. Mobile field hospital: HUSKY and Medicaid coverage.
- Sec. 17b-261f. Mobile field hospital account.
- Sec. 17b-261g. Reimbursement under Medicaid program for certain therapy services provided to children by home health care agencies.
- Sec. 17b-261h. Enrollment of HUSKY Plan, Part A recipients in available employer-sponsored private health insurance. Waiver from federal law. Regulations.
- Sec. 17b-262. (Formerly Sec. 17-134d). Regulations. Admissions to nursing home facilities.
- Sec. 17b-263. (Formerly Sec. 17-274b). Utilization of outpatient mental health services. Contract for services. Rates.
- Sec. 17b-263a. Amendment to state Medicaid plan to include assertive community treatment teams and community support services.
- Sec. 17b-263b. Pilot program for individuals ages nineteen to twenty-one with a mental disorder and chronic health condition. Eligibility.
- Sec. 17b-264. (Formerly Sec. 17-134e). Extension of other public assistance provisions.
- Sec. 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.
- Sec. 17b-265a. Physicians providing services to dually eligible Medicaid and Medicare clients. Rates.
- Sec. 17b-265b. Reimbursement rates for pathologists.
- Sec. 17b-265c. Medicaid and Medicare dually eligible pilot program.
- Sec. 17b-265d. Definition of full benefit dually eligible Medicare Part D beneficiary. Prescription drug coverage under Medicare Part D. Copayment coverage. Commissioner's enrollment authority.
- Sec. 17b-265e. Medicare Part D Supplemental Needs Fund. Payment by department for nonformulary prescription drugs. Rebates required for pharmaceutical manufacturers.
- Sec. 17b-265f. Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy.
- Sec. 17b-265g. Health insurer. Duties owed to the state and Commissioner of Social Services.
- Sec. 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. Exception of deadline for payment of capitation claims. Deposit of funds for expenditures for children's health programs and services.
- Sec. 17b-266a. Contract with pharmacy benefits management organization.
- Sec. 17b-267. (Formerly Sec. 17-134h). Use of fiscal intermediaries in connection with medical assistance.
- Sec. 17b-268. (Formerly Sec. 17-134i). Withdrawal of member of group providing services.
- Sec. 17b-269. (Formerly Sec. 17-134j). Bonding of officers and employees.
- Sec. 17b-270. (Formerly Sec. 17-134k). Liability of agency and its officers.
- Sec. 17b-271. (Formerly Sec. 17-134l). Termination of agreement.
- Sec. 17b-272. (Formerly Sec. 17-134m). Personal fund allowance.
- Sec. 17b-273. (Formerly Sec. 17-134o). Payment rate for ambulance rides eligible under medical assistance program.
- Sec. 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.
- Sec. 17b-274a. Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list.
- Sec. 17b-274b. Pharmaceutical purchasing initiative. Annual report.
- Sec. 17b-274c. Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program.
- Sec. 17b-274d. Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Supplemental rebates. Administrative hearings.
- Sec. 17b-274e. Prescription drugs. Utilization of cost-efficient dosages.
- Sec. 17b-275. (Formerly Sec. 17-134r). Physician and pharmacy lock-in procedure.
- Sec. 17b-276. (Formerly Sec. 17-134s). Competitive bidding process for nonemergency transportation services. Fee schedules.
- Sec. 17b-276a. Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations.
- Sec. 17b-277. (Formerly Sec. 17-134u). Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. State plan amendment or waiver under federal law. Biannual reports.
- Sec. 17b-277a. Program to inform applicants to the Healthy Start program of services provided by the Nurturing Families Network.
- Sec. 17b-278. (Formerly Sec. 17-134z). Home leave absences for certain medical assistance recipients.
- Sec. 17b-278a. Coverage for treatment for smoking cessation.
- Sec. 17b-278b. Medical assistance for breast and cervical cancer.
- Sec. 17b-278c. Amendment to state Medicaid plan to provide mammogram examinations to certain women.
- Sec. 17b-278d. Amendment to state Medicaid plan and state children's health insurance plan to provide neuropsychological testing for children diagnosed with cancer.
- Sec. 17b-279. (Formerly Sec. 17-134aa). Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report.
- Sec. 17b-280. (Formerly Sec. 17-134bb). Reimbursement rate for legend drugs. Dispensing fee. Reimbursement for over-the-counter drugs and products. Dispensing fee exception. Enhanced dispensing fee.
- Sec. 17b-281. (Formerly Sec. 17-134cc). Payment of oxygen products and services under medical assistance program.
- Sec. 17b-281a. Procedure for preauthorization of purchase or rental of durable medical equipment.
- Sec. 17b-281b. Used durable medical equipment. Payments to vendors or suppliers.
- Sec. 17b-281c. Authority of commissioner to modify medical equipment fee schedules.
- Sec. 17b-282. (Formerly Sec. 17-134dd). Medical assistance for certain children and elderly and disabled persons.
- Sec. 17b-282a. Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons.
- Sec. 17b-282b. Implementation of state-wide dental plan. Waiver. Review of prior authorization requirements.
- Sec. 17b-283. (Formerly Sec. 17-134ee). Model 2176 Medicaid waiver.
- Sec. 17b-284. (Formerly Sec. 17-134ff). Medical assistance for certain employed persons.
- Sec. 17b-285. (Formerly Sec. 17-134gg). Assignment of spousal support of an institutionalized person or person in need of institutional care.
- Sec. 17b-286. Medicaid management information system. Reports.
- Sec. 17b-287. (Formerly Sec. 17-292a). Assistance for person who needs hospitalization and is not a resident of any town.
- Sec. 17b-288. Organ transplant account. Regulations.
- Sec. 17b-289. Short title: HUSKY and HUSKY Plus Act. HUSKY Plan, Part A and HUSKY Plan, Part B participants.
- Sec. 17b-290. Definitions.
- Sec. 17b-291. Children's health insurance plan.
- Sec. 17b-292. HUSKY Plan, Part B. Eligibility. Expedited eligibility under Husky Plan, Part B. Presumptive eligibility under Medicaid. Single point of entry services. Managed care enrollment brokerage services. Managed care enrollment brokerage services. Continued eligibility determinations. Regulations.
- Sec. 17b-292a. Redetermination of eligibility under HUSKY Plan, information necessary for.
- Sec. 17b-293. Minimum benefit coverage under HUSKY Plan, Part B.
- Sec. 17b-294. HUSKY Plus programs.
- Sec. 17b-295. Cost-sharing requirements under HUSKY Plan, Part B.
- Sec. 17b-296. Provision for clinicians in managed care plans. Provision by managed care organizations of services under HUSKY Plan.
- Sec. 17b-297. Outreach programs for HUSKY Plan, Part A and Part B.
- Sec. 17b-297a. Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY Plan.
- Sec. 17b-297b. Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Plan. Procedure for application for HUSKY Plan.
- Sec. 17b-298. Regulations re quality of care under HUSKY Plan. Outcome criteria. Sanctions. Reports re HUSKY Plans to General Assembly.
- Sec. 17b-299. Applications. Approval.
- Sec. 17b-300. Notification of enrollee's change of circumstance.
- Sec. 17b-301. Recovery of payment for false statement, misrepresentation or concealment.
- Sec. 17b-302. Public involvement in design and implementation of HUSKY Plan, Part B. Submission of plan for public involvement to General Assembly.
- Sec. 17b-303. Income disregard. Application for federal waiver.
- Sec. 17b-304. Regulations.
- Sec. 17b-305.
- Sec. 17b-306. Plan for a system of preventive health services for children under the HUSKY Plan, Part A and Part B.
- Sec. 17b-306a. Child health quality improvement program. Purpose and scope. Annual report.
- Sec. 17b-307. Primary care case management pilot program.
- Secs. 17b-308 to 17b-310.
- Sec. 17b-311. Charter Oak Health Plan.
- Secs. 17b-312 to 17b-319.
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