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Medicaid/CHIP Data Requirements in Connecticut

Medicaid/CHIP Data Requirements

Connecticut administers Medicaid (HUSKY Part A) and CHIP (HUSKY Part B) through the “Connecticut Medical Assistance Program”1 and offers beneficiaries an opportunity to participate in the Program of All-Inclusive Care for the Elderly.2

Connecticut authorizes the Commissioner of Social Services to (1) provide home based services to Medicaid beneficiaries living with HIV/AIDs;3 (2) provide Medicaid recipients with “assertive community treatment teams and community support services;”4 (3) administer a pilot project to determine the feasibility of delivering “comprehensive health insurance coverage in a managed care setting” to dual Medicare and Medicaid eligible beneficiaries;5 (4) establish “a child health quality improvement program” as a means of encouraging HUSKY Plan, Part A and Part B providers to use evidence-based strategies to improve the quality of and access to children’s health care;6 and (5) establish a pilot program in which a primary care provider will coordinate the health care services provided to HUSKY Plan, Part A recipients.7

The Commissioner of Social Services must contract for the provision of various administrative services (e.g. care coordination, disease management) to “elderly and disabled Medicaid recipients.”8 The Commissioner may contract for the provision of such services to “Medicaid, Husky Plan, Part A and B, and Charter Oak Health Plan” recipients.9

 

Footnotes

  • 1. Connecticut Department of Social Services, About Us, https://www.ctdssmap.com/CTPortal/Home/About%20Us/tabId/38/Default.aspx (last visited Dec. 18, 2012).
  • 2. C.G.S.A. § 17b-28c.
  • 3. C.G.S.A. § 17b-260d.
  • 4. C.G.S.A. § 17b-263a.
  • 5. C.G.S.A. § 17b-265c.
  • 6. C.G.S.A. § 17b-306a.
  • 7. C.G.S.A. § 17b-307.
  • 8. C.G.S.A. § 17b-261i.
  • 9. C.G.S.A. § 17b-271m.

 

Medicaid/CHIP Data Requirements in Connecticut

Subtopic Statute/Regulation Description
Medicaid/CHIP Data Requirements Administrative services for Medicaid recipients. Regulations - Conn. Gen. Stat. § 17b-261i The Commissioner of Social Services must enter into contracts with entities to provide Medicaid recipients with administrative services. Such...
Administrative services organization. Contract for services - Conn. Gen. Stat. § 17b-261m The Commissioner of Social Services may enter into contracts to provide “Medicaid, Husky Plan, Part A and B, and Charter Oak Health Plan...
Amendment to state Medicaid plan to include assertive community treatment teams and community support service - Conn. Gen. Stat. § 17b-263a The Commissioner of Social Services must amend the Medicaid state plan in order to provide “assertive community treatment teams and community...
Child health quality improvement program. Purpose and scope. Annual reports - Conn. Gen. Stat. § 17b-306a The Commissioner of Social Services must create “a child health quality improvement program” as a means of encouraging HUSKY Plan, Part A...
Home and community-based services waiver serving persons with acquired immune deficiency syndrome or human immunodeficiency virus - Conn. Gen. Stat. § 17b-260d The Commissioner of Social Services must apply for a Medicaid waiver in order to provide community and home based services to a maximum of 100...
Peer review materials not subject to disclosure pursuant to Freedom of Information Act. Access to peer review materials by Department of Public Health - Conn. Gen. Stat. § 19a-17c The Freedom of Information Act (FOIA) may not be used to access peer review information. The Department of Public Health may access peer review...
Peer review: Definitions; immunity; discovery permissible re proceedings - Conn. Gen. Stat. § 19a-17b Persons that provide hospitals, professional societies, medical and dental schools, licensing boards, or medical review committees with information...
Primary care case management pilot program - Conn. Gen. Stat. § 17b-307 The Department of Social Services must establish a pilot program in which a primary care provider will coordinate the health care services provided...
Professional Assistance Oversight Committee. Duties. Access to professional assistance program records. Corrective action plans. Confidentiality of records and proceedings - Conn. Gen. Stat. § 19a-12b Health care professional organizations operating within Connecticut may establish an “assistance program” that will provide support to...