|
|
§ 17b-220 |
Reimbursement of medical providers |
§ 17b-221 |
Regulations. Reimbursement of hospitals |
§ 17b-221a |
Revenue from Riverview Hospital to be used to pay Medicaid claims |
§ 17b-221b |
Federal matching funds for special-education-related services. Portion to be used for Medicaid claims |
§ 17b-222 |
“Humane institution” defined. Daily report |
§ 17b-223 |
Support in humane institutions |
§ 17b-224 |
Liability of patient for per capita cost of care |
§ 17b-225 |
Availability of patient information to certain agencies |
§ 17b-226 |
Consideration of the costs mandated by collective bargaining agreements |
§ 17b-226a |
Provider billing rates for goods and services |
§ 17b-227 |
Payment for services in state humane institutions |
§ 17b-228 |
Court action by state to recover unpaid portion of charges |
§ 17b-229 |
Liability for prior charges |
§ 17b-230 |
Claim of state on death of institution patient |
§ 17b-231 |
Refund for support of persons in state institutions |
§ 17b-232 |
Payment for board and care in boarding home, group home, chronic and convalescent hospital or other residential facility |
§ 17b-233 |
Care of handicapped and other children at Newington Children’s Hospital. Children with drug-related conditions not to be admitted |
§ 17b-236 |
Admission of physically disabled children to The Children’s Center |
§ 17b-237 |
State aid toward support of children at center |
§ 17b-238 |
State payments to hospitals |
§ 17b-239 |
Payments to hospitals, emergency department physicians. Value-based methodologies. Readmission penalties. Compliance with federal law. Regulations |
§ 17b-239a |
Payments to short-term general hospitals located in certain distressed municipalities and targeted investment communities with enterprise zones |
§ 17b-239b |
Chronic disease hospitals. Prior authorization procedures. Regulations |
§ 17b-239c |
Interim disproportionate share payments to short-term general hospitals |
§ 17b-239d |
Payments for outpatient hospital services |
§ 17b-239e |
Hospital rate plan. Supplemental pools and payments. Quality measures |
§ 17b-240 |
State payments to hospitals. Rates established by the Office of Health Care Access division of the Department of Public Health |
§ 17b-241 |
Payments to mental health and substance abuse residential facilities and freestanding detoxification centers |
§ 17b-241a |
Payments to the Department of Mental Health and Addiction Services for targeted case management services. Submission of expenditures for intensive care management |
§ 17b-241b |
Rate for private psychiatric residential treatment facilities |
§ 17b-242 |
Payments to home health care agencies and home health aide agencies. Appeals. Hearings. Authorized practitioners. Regulations |
§ 17b-242a |
Prior authorization for Medicaid home health services, physical therapy, occupational therapy and speech therapy. Regulations |
§ 17b-242b |
Pilot program for ventilator-dependent Medicaid recipients receiving medical care at home |
§ 17b-243 |
Payments to rehabilitation centers |
§ 17b-244 |
Payments to private facilities providing functional or vocational services for severely handicapped persons and payments for residential care. Establishment of rate. Regulations |
§ 17b-244a |
Rates for payment to residential facilities for individuals with intellectual disabilities |
§ 17b-245 |
Payments to day care and vocational training programs sponsored by certain associations |
§ 17b-245a |
Payments to federally qualified health centers |
§ 17b-245b |
Federally qualified health centers. Reimbursement methodology in the Medicaid program |
§ 17b-245c |
Demonstration project to provide telemedicine to Medicaid recipients at federally qualified community health centers |
§ 17b-245d |
Information to be provided by federally qualified health centers. Adjustment of encounter rates |
§ 17b-245e |
Telehealth services provided under the Medicaid program. Report |
§ 17b-245f |
Diabetes. Program to recommend federally-qualified health centers and other covered entities. Working group. Medicaid waiver. Report to General Assembly. Regulations |
§ 17b-245g |
Telehealth services under the Connecticut medical assistance program. Audio-only telehealth services. Coverage criteria. Reimbursement |
§ 17b-246 |
Rates to include reimbursement for reasonable costs mandated by collective bargaining agreements |
§ 17b-247 |
Contracts for stock and standard durable medical equipment. Payment of laboratory services |
§ 17b-248 |
Liability of home or institution having life care contract |
§ 17b-249 |
Support of mentally ill persons accused of crime |
§ 17b-250 |
Payment of hospital expense of inmate transferred from correctional institution |
§ 17b-252 |
Connecticut Partnership for Long-Term Care |
§ 17b-253 |
Connecticut Partnership for Long-Term Care: Amendments to Medicaid regulations and state plan. Regulations |
§ 17b-254 |
Connecticut Partnership for Long-Term Care: Foundation funds and federal approval. Report |
§ 17b-255 |
Insurance assistance for people with AIDS. Managed care insurance program for persons with AIDS |
§ 17b-256 |
Prescription drug and insurance assistance program for persons with acquired immunodeficiency syndrome or human immunodeficiency virus. Annual report. Enrollment in Medicare Part D |
§ 17b-256d |
State medical assistance program. Use of federally-qualified community health centers |
§ 17b-256e |
Reports re potential participants in affordable pharmaceutical drug program |
§ 17b-256f |
Eligibility for Medicare savings programs. Regulations |
§ 17b-257a |
Qualified alien eligibility for Medicaid. Medical assistance for certain qualified alien children and pregnant women |
§ 17b-257b |
Alien eligibility for state medical assistance. Regulations |
§ 17b-257c |
Payments to long-term care facilities for care of illegal immigrants admitted to acute care or psychiatric hospitals. Eligibility. Regulations |
§ 17b-257d |
Notice of terminating alien’s state medical assistance |
§ 17b-257e |
Postpartum care for women without legal immigration status. Income eligibility |
§ 17b-258 |
Health insurance assistance for unemployed persons |
§ 17b-259 |
Medically necessary services |
§ 17b-259a |
Imposition of cost sharing requirements on recipients of medical assistance. Exception |
§ 17b-259b |
“Medically necessary” and “medical necessity” defined. Notice of denial of services. Regulations |
§ 17b-260 |
Acceptance of federal grants for medical assistance |
§ 17b-260a |
Medicaid-financed home and community-based programs for individuals with acquired brain injury. Advisory committee |
§ 17b-260b |
Home and community-based service waivers serving persons with acquired brain injury and persons with intellectual disability. Amendments |
§ 17b-260c |
Medicaid waiver to provide coverage for family planning services |
§ 17b-260d |
Home and community-based services waiver serving persons with acquired immune deficiency syndrome or human immunodeficiency virus |
§ 17b-260e |
Federal funding reductions. Requirements for state to offset Medicaid reductions for family planning services |
§ 17b-261 |
Medicaid. Eligibility. Assets. Waiver from federal law |
§ 17b-261a |
Transfer or assignment of assets resulting in the imposition of a penalty period. Return or partial return of asset. Regulations |
§ 17b-261b |
Program eligibility determined by department. Spousal support |
§ 17b-261c |
Medical assistance. Changes in circumstances |
§ 17b-261d |
Disease management initiative. Implementation. Annual report |
§ 17b-261e |
Mobile field hospital: HUSKY Health program coverage |
§ 17b-261f |
Mobile field hospital account |
§ 17b-261g |
Reimbursement under Medicaid program for certain therapy services provided to children by home health care agencies |
§ 17b-261h |
Enrollment of HUSKY A recipients in available employer-sponsored private health insurance. Waiver from federal law. Regulations |
§ 17b-261i |
Administrative services for Medicaid recipients. Regulations |
§ 17b-261j |
Easy Breathing model in HUSKY Health program |
§ 17b-261k |
Protected amount for the community spouse of an institutionalized Medicaid applicant. Regulations |
§ 17b-261l |
Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations |
§ 17b-261m |
Administrative services organization. Contract for services. Establishment of rates |
§ 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 |
§ 17b-261o |
Imposition of penalty period when undue hardship exists. Exception |
§ 17b-261p |
Notice re determination of penalty period. Filing claim of undue hardship. Nursing home involvement |
§ 17b-261q |
Action by nursing home facility to collect debt for unpaid care provided during penalty period |
§ 17b-261r |
Determination of applied income. Notice. Action by nursing home facility to recover applied income |
§ 17b-261s |
Copy of complaint, judgment or decree to be mailed in action by nursing home facility |
§ 17b-261t |
Contents of Medicaid benefits cards |
§ 17b-261u |
Alternate coverage after loss of Medicaid eligibility for parent or needy caretaker relative. Review. Quarterly reports |
§ 17b-261v |
Parent or needy caretaker relative. Review of Medicaid coverage options |
§ 17b-261w |
Prior authorization, utilization review criteria for medical assistance. Waivers. Suspensions. Notice requirements |
§ 17b-261x |
Minimum protected resource allowance for community spouse of institutionalized Medicaid recipient |
§ 17b-261y |
Department to compile annual data on denial of Medicaid eligibility in any matter in which Probate Court issued order or decree re assets or income affecting Medicaid eligibility |
§ 17b-262 |
Regulations. Admissions to nursing home facilities |
§ 17b-263 |
Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services |
§ 17b-263a |
Amendment to state Medicaid plan to include assertive community treatment teams and community support services |
§ 17b-263b |
Pilot program for individuals ages nineteen to twenty-one with a mental disorder and chronic health condition. Eligibility |
§ 17b-263c |
Medical homes. Regulations |
§ 17b-264 |
Extension of other public assistance provisions |
§ 17b-265 |
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 |
§ 17b-265a |
Physicians providing services to dually eligible Medicaid and Medicare clients. Rates |
§ 17b-265b |
Reimbursement rates for pathologists |
§ 17b-265c |
Medicaid and Medicare dually eligible pilot program |
§ 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 |
§ 17b-265e |
Medicare Part D Supplemental Needs Fund. Payment by department for nonformulary prescription drugs. Rebates required for pharmaceutical manufacturers. Contracts for supplemental rebates |
§ 17b-265f |
Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy |
§ 17b-265g |
Health insurer. Duties owed to the state and Commissioner of Social Services |
§ 17b-266 |
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 |
§ 17b-266a |
Contract with pharmacy benefits management organization |
§ 17b-267 |
Use of fiscal intermediaries in connection with medical assistance |
§ 17b-268 |
Withdrawal of member of group providing services |
§ 17b-269 |
Bonding of officers and employees |
§ 17b-270 |
Liability of agency and its officers |
§ 17b-271 |
Termination of agreement |
§ 17b-272 |
Personal fund allowance |
§ 17b-273 |
Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services |
§ 17b-274 |
Periodic investigations of pharmacies by Division of Criminal Justice. Brand medically necessary. Procedure for prior approval to dispense brand name drug. Disclosure |
§ 17b-274a |
Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list |
§ 17b-274b |
Pharmaceutical purchasing initiative. Annual report |
§ 17b-274c |
Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program |
§ 17b-274d |
Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Automatic refill recommendations. Supplemental rebates. Administrative hearings |
§ 17b-274e |
Prescription drugs. Utilization of cost-efficient dosages |
§ 17b-274f |
Step therapy program for Medicaid prescription drugs |
§ 17b-274g |
Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements |
§ 17b-274h |
Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process |
§ 17b-275 |
Physician and pharmacy lock-in procedure |
§ 17b-276 |
Competitive bidding process for nonemergency transportation services. Disclosure of payment source. Fee schedules |
§ 17b-276a |
Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations |
§ 17b-276b |
Nonemergency medical transportation services. Prior authorization |
§ 17b-276c |
Payment for medically necessary mode of transportation service |
§ 17b-277 |
Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. Postpartum care |
§ 17b-277a |
Program to inform applicants to the Healthy Start program of services provided by the Connecticut Home Visiting System |
§ 17b-277b |
Healthy Start program. Plan. Review |
§ 17b-277c |
Medicaid coverage for donor breast milk. Requirements. Regulations |
§ 17b-278 |
Home leave absences for certain medical assistance recipients |
§ 17b-278a |
Coverage for treatment for smoking cessation |
§ 17b-278b |
Medical assistance for breast and cervical cancer |
§ 17b-278c |
Amendment to state Medicaid plan to provide mammogram examinations to certain women |
§ 17b-278d |
Amendment to state Medicaid plan and state children’s health insurance plan to provide neuropsychological testing for children diagnosed with cancer |
§ 17b-278e |
Amendment to state Medicaid plan to exclude payment for hospital-acquired conditions |
§ 17b-278f |
Amendment to state Medicaid plan to provide treatment for tuberculosis |
§ 17b-278g |
Medical assistance for eyeglasses and contact lenses. Regulations |
§ 17b-278h |
Medical assistance for chiropractic services. Regulations |
§ 17b-278i |
Medical assistance for customized wheelchairs. Repairs. Refurbished equipment, parts and components. Regulations |
§ 17b-278j |
Complex rehabilitation technology. Definitions. Report |
§ 17b-278k |
Electronic transmission of prescriptions for durable medical equipment |
§ 17b-279 |
Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report |
§ 17b-280 |
Reimbursement rate for covered outpatient drugs under the Medicaid program |
§ 17b-280a |
Payment for over-the-counter medications under medical assistance program. Exceptions |
§ 17b-280b |
Proposed revisions to reimbursement methodology for covered outpatient drugs under the Medicaid program. Legislative review |
§ 17b-280c |
Methadone maintenance. Minimum rates |
§ 17b-281 |
Payment of oxygen products and services under medical assistance program |
§ 17b-281a |
Procedure for preauthorization of purchase or rental of durable medical equipment |
§ 17b-281b |
Used durable medical equipment. Payments to vendors or suppliers |
§ 17b-281c |
Authority of commissioner to modify medical equipment fee schedules |
§ 17b-282 |
Medical assistance for certain children and elderly and disabled persons |
§ 17b-282a |
Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons |
§ 17b-282b |
Implementation of state-wide dental plan. Waiver |
§ 17b-282c |
Nonemergency dental services. Regulations |
§ 17b-282d |
Commissioner to modify nonemergency dental services. Regulations |
§ 17b-282e |
Orthodontic services for Medicaid recipients under twenty-one years of age |
§ 17b-282f |
Mobile dental clinics. Medicaid coverage areas. Regulations |
§ 17b-283 |
Medicaid home and community-based services waiver program for children and young adults with disabilities |
§ 17b-283a |
Active duty armed forces member application for Medicaid home or community-based program on behalf of eligible spouse or child |
§ 17b-284 |
Medical assistance for certain employed persons |
§ 17b-285 |
Assignment of spousal support of an institutionalized person or person in need of institutional care |
§ 17b-286 |
Medicaid management information system. Reports |
§ 17b-287 |
Assistance for person who needs hospitalization and is not a resident of any town |
§ 17b-288 |
Organ transplant account. Regulations |
§ 17b-289 |
Short title: HUSKY and HUSKY Plus Act. HUSKY Plan, Part A and HUSKY Plan, Part B participants |
§ 17b-290 |
Definitions |
§ 17b-291 |
Children’s health insurance plan |
§ 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 |
§ 17b-292a |
Information for redetermination of eligibility under HUSKY Plan |
§ 17b-292b |
Prenatal care under HUSKY B. Unborn child option. Income eligibility |
§ 17b-293 |
Minimum benefit coverage under HUSKY Plan, Part B |
§ 17b-294 |
HUSKY Plus programs |
§ 17b-294a |
HUSKY Plus program. Administration. Eligibility. Regulations |
§ 17b-295 |
Cost-sharing requirements under HUSKY B |
§ 17b-296 |
Provision for clinicians in managed care plans. Provision by managed care organizations of services under HUSKY Plan |
§ 17b-297 |
Outreach programs for HUSKY Plan, Part A and Part B |
§ 17b-297a |
Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY B |
§ 17b-297b |
Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Health program |
§ 17b-298 |
Regulations re quality of care under HUSKY Plan. Outcome criteria. Sanctions. Reports re HUSKY Plans to General Assembly |
§ 17b-299 |
Applications. Approval |
§ 17b-300 |
Notification of member’s change of circumstance |
§ 17b-301 |
Recovery of payment for false statement, misrepresentation or concealment |
§ 17b-302 |
Public involvement in design and implementation of HUSKY Plan, Part B. Submission of plan for public involvement to General Assembly |
§ 17b-303 |
Income disregard. Application for federal waiver |
§ 17b-304 |
Regulations |
§ 17b-306 |
Plan for a system of preventive health services for children in the HUSKY Health program |
§ 17b-306a |
Child health quality improvement program. Purpose and scope. Annual reports |
§ 17b-307 |
Primary care case management pilot program |
§ 17b-307a |
Medicaid reimbursement system incentivizing collaboration between primary care providers and behavioral and mental health care providers for HUSKY Health program members |
§ 17b-311 |
Charter Oak Health Plan |
§ 17b-312 |
Medicaid waiver to seek federal funds to support the Covered Connecticut program |
§ 17b-313 |
Innovation waiver for health care expansion |