Chapter 319v - MEDICAL ASSISTANCE

Section 17b-220 - [Repealed]
Section 17b-221 - [Repealed]
Section 17b-221a - [Repealed]
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
Section 17b-234 and 17b-235 - [Repealed]
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 - [Repealed]
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 - [Repealed]
Section 17b-242 - (Formerly Sec. 17-313). Payments to home health care agencies and home health aide agencies. Appeals. Hearings. Authorized practitioners. Regulations
Section 17b-242a - Prior authorization for Medicaid home health services, physical therapy, occupational therapy and speech therapy. Regulations
Section 17b-242b - [Repealed]
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 - [Repealed]
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-245g - Telehealth services under the Connecticut medical assistance program. Audio-only telehealth services. Coverage criteria. Reimbursement
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 - [Repealed]
Section 17b-250 - (Formerly Sec. 17-318). Payment of hospital expense of inmate transferred from correctional institution
Section 17b-251 - Transferred
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 - [Repealed]
Section 17b-256 - [Repealed]
Section 17b-256a to 17b-256c - Reserved for future use
Section 17b-256d - [Repealed]
Section 17b-256e - [Repealed]
Section 17b-256f - Eligibility for Medicare savings programs. Regulations
Section 17b-257 - Transferred
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-257e - Postpartum care for women without legal immigration status. Income eligibility
Section 17b-258 - [Repealed]
Section 17b-259 - [Repealed]
Section 17b-259a - [Repealed]
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 - [Repealed]
Section 17b-260d - [Repealed]
Section 17b-260e - Federal funding reductions. Requirements for state to offset Medicaid reductions for family planning services
Section 17b-261 - [Effective Until 10/1/2024] (Formerly Sec. 17-134b). Medicaid. Eligibility. Assets. Waiver from federal law
Section 17b-261 - [Effective 10/1/2024] (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 - [Repealed]
Section 17b-261j - Easy Breathing model in HUSKY Health program
Section 17b-261k - [Repealed]
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 - [Repealed]
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 - [Repealed]
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-261w - Waiver of authorization or other utilization review criteria and procedures for the Connecticut medical assistance program
Section 17b-261x - Minimum community spouse resource allowance
Section 17b-261y - Medicaid eligibility data
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 - [Repealed]
Section 17b-263b - [Repealed]
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. Allocation of child support obligor funds
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 - [Repealed]
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 - [Repealed]
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 - [Repealed]
Section 17b-274b - [Repealed]
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. Postpartum care
Section 17b-277a - Program to inform applicants to the Healthy Start program of services provided by the Connecticut Home Visiting System
Section 17b-277b - [Repealed]
Section 17b-277c - Medicaid coverage for donor breast milk. Requirements. Regulations
Section 17b-277d - Medicaid payment for maternity services. 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 - [Repealed]
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-278l - Medical assistance for obesity treatment, surgery. Definitions. State plan amendments
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
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 - [Repealed]
Section 17b-287 - [Repealed]
Section 17b-288 - Organ transplant account. Regulations
Section 17b-289 - [Repealed]
Section 17b-290 - Definitions
Section 17b-291 - [Repealed]
Section 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
Section 17b-292a - [Repealed]
Section 17b-292b - Prenatal care under HUSKY B. Unborn child option. Income eligibility
Section 17b-293 - [Repealed]
Section 17b-294 - [Repealed]
Section 17b-294a - [Repealed]
Section 17b-295 - Cost-sharing requirements under HUSKY B
Section 17b-296 - [Repealed]
Section 17b-297 - [Repealed]
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 - [Repealed]
Section 17b-299 - [Repealed]
Section 17b-300 - Notification of member's change of circumstance
Section 17b-301 - Recovery of payment for false statement, misrepresentation or concealment
Section 17b-301a to 17b-301p - [Repealed]
Section 17b-302 - [Repealed]
Section 17b-303 - [Repealed]
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 - [Repealed]
Section 17b-307 - Primary care case management pilot program
Section 17b-307a - Medicaid reimbursement system incentivizing collaboration between primary care providers and behavioral and mental health care providers for HUSKY Health program members
Section 17b-307b - Medicaid reimbursement for suicide risk assessments and other mental health evaluations and services provided at school-based health centers or public schools
Section 17b-308 to 17b-310 - Reserved for future use
Section 17b-311 - [Repealed]
Section 17b-312 - Medicaid waiver to seek federal funds to support the Covered Connecticut program
Section 17b-313 - Innovation waiver for health care expansion
Section 17b-314 to 17b-319 - Reserved for future use