Conn. Gen. Stat. § 17b-290

Current with legislation from 2024 effective through May 11, 2024.

Section 17b-290 - Definitions

As used in this section and sections 17b-292, 17b-295, 17b-297a, 17b-297b and 17b-300:

(1) "Applicant" means an individual over the age of eighteen years who is a natural or adoptive parent, a legal guardian, a caretaker relative, foster parent or stepparent with whom the child resides and shall include a child who is eighteen years of age or emancipated in accordance with the provisions of sections 46b-150 to 46b-150e, inclusive, and who is applying on his own behalf or on behalf of a minor dependent for coverage under such plan;

(2) "Child" means an individual under nineteen years of age;

(3) "Coinsurance" means the sharing of health care expenses by the insured and an insurer in a specified ratio;

(4) "Commissioner" means the Commissioner of Social Services;

(5) "Copayment" means a payment made on behalf of a member for a specified service under HUSKY B;

(6) "Cost sharing" means arrangements made on behalf of a member whereby an applicant pays a portion of the cost of health services, sharing costs with the state and includes copayments, premiums, deductibles and coinsurance;

(7) "Deductible" means the amount of out-of-pocket expenses that would be paid for health services on behalf of a member before becoming payable by the insurer;

(8) "Department" means the Department of Social Services;

(9) "Durable medical equipment" means equipment that meets all of the following requirements:

(A) Can withstand repeated use;

(B) Is primarily and customarily used to serve a medical purpose;

(C) Generally is not useful to a person in the absence of an illness or injury; and

(D) Is nondisposable;

(10) "Eligible beneficiary" means a child who meets the requirements in section 17b-292, and the requirements specified in Section 2110(b)(2)(B) of the Social Security Act as amended by Section 10203(b)(2)(D) of the Affordable Care Act;

(11) "Household" has the same meaning as provided in 42 CFR 435.603;

(12) "Household income" has the same meaning as provided in 42 CFR 435.603;

(13) "HUSKY A" means Medicaid provided to children, caretaker relatives and pregnant and postpartum women pursuant to section 17b-261 or 17b-277;

(14) "HUSKY B" means the health coverage for children established pursuant to the provisions of sections 17b-290, 17b-292, 17b-295, 17b-297a, 17b-297b and 17b-300;

(15) "HUSKY C" means Medicaid provided to individuals who are sixty-five years of age or older or who are blind or have a disability;

(16) "HUSKY D" or "Medicaid Coverage for the Lowest Income Populations program" means Medicaid provided to nonpregnant low-income adults who are age eighteen to sixty-four, as authorized pursuant to section 17b-8a;

(17) "HUSKY Health" means the combined HUSKY A, HUSKY B, HUSKY C and HUSKY D programs, that provide medical coverage to eligible children, parents, relative caregivers, persons age sixty-five or older, individuals with disabilities, low-income adults, and pregnant women;

(18) "Member" means an eligible beneficiary who receives services under HUSKY A, B, C or D;

(19) "Parent" means a natural parent, stepparent, adoptive parent, guardian or custodian of a child;

(20) "Premium" means any required payment made by an individual to offset the cost under HUSKY B;

(21) "Qualified entity" means any entity:

(A) Eligible for payments under a state plan approved under Medicaid and which provides medical services under HUSKY A, or

(B) that is a qualified entity, as defined in 42 USC 1396r-1a, as amended by Section 708 of Public Law 106-554, and that is determined by the commissioner to be capable of making the determination of eligibility. The commissioner shall provide qualified entities with such forms or information on filing an application electronically as is necessary for an application to be made on behalf of a child under HUSKY A and information on how to assist parents, guardians and other persons in completing and filing such forms or electronic application;

(22) "WIC" means the federal Special Supplemental Food Program for Women, Infants and Children administered by the Department of Public Health pursuant to section 19a-59c.

Conn. Gen. Stat. § 17b-290

( Oct. 29 Sp. Sess. P.A. 97-1, S. 2, 23; P.A. 99-279, S. 18, 45; P.A. 00-196, S. 53; P.A. 01-137, S. 2, 9; June 30 Sp. Sess. P.A. 03-3, S. 73; P.A. 05-44, S. 2; P.A. 10-179, S. 61; June Sp. Sess. P.A. 10-1, S. 32; P.A. 11-25, S. 11; P.A. 15-69, S. 20; June Sp. Sess. P.A. 15-5, S. 373.)

Amended by P.A. 21-0123,S. 3 of the Connecticut Acts of the 2021 Regular Session, eff. 7/6/2021.

Amended by P.A. 15-0005, S. 373 of the Connecticut Acts of the 2015 Special Session, eff. 8/1/2015.

Amended by P.A. 15-0069, S. 20 of the Connecticut Acts of the 2015 Regular Session, eff. 6/19/2015.

Amended by P.A. 11-0025, S. 11 of the the 2011 Regular Session, eff. 10/1/2011.

Amended by P.A. 10-0001, S. 32 of the June 2010 Sp. Sess., eff. 7/1/2010.

Amended by P.A. 10-0179, S. 61 of the February 2010 Regular Session, eff. 7/1/2010.

See Sec. 17b-261e re HUSKY and Medicaid coverage for isolation care and emergency services provided by the state's mobile field hospital.