DSS: Health Care

Health Care

 
Access to quality health care is important to the state of Connecticut, and needs to be available to low-income individuals and families, the elderly, people with disabilities, and people with specific medical conditions and requirements. The Department of Social Services administers many programs designed to assist Connecticut residents in meeting their medical care needs.
 

Connecticut Medical Assistance Program

The Department provides medical assistance to low income persons and people who could otherwise support themselves if not for the fact that they have excessive health care costs.  Assistance is provided through a variety of programs and administrative functions.  To learn more about Connecticut’s Medical Assistance Program go to: Connecticut Medical Assistance Program

Information for health care providers enrolled or interested in more detailed information regarding the Connecticut Medical Assistance Program can be found at:  Connecticut Medical Assistance Program

 

 

Medicaid for Employees with Disabilities

Medicaid for Employees with Disabilities, now known as Med-Connect, was authorized by The Ticket to Work and Work Incentives Improvement Act of 1999. Its implementation in Connecticut is mandated under Public Act 00-213 Work Incentives for Persons with Disabilities. The program allows persons with a disability to engage in employment without risking eligibility for needed medical services through the Medicaid program. The program also allows certain individuals to keep other necessary services needed to remain employed. In general an eligible person with a disabling condition who is employed, can qualify for Medicaid without the use of spenddown while earning income in excess of traditional income limits.
 
More information can be found on the Medicaid for Employees with Disabilities page.
 

Medicaid

The Medicaid program provides for remedial, preventive, and long term medical care for income eligible aged, blind or disabled individuals, and families with children. Payment is made directly to health care providers, by the department, for services delivered to eligible individuals. The program complies with federal Medicaid law (Title XIX of the Social Security Act) and regulations in order to receive 50% reimbursement from the federal government.

Individuals may meet Medicaid eligibility requirements in a number of ways. Individuals or families who meet the income and asset eligibility criteria in effect for Aid To Families with Dependent Children (AFDC) on July 16, 1996 or the State Supplement program are eligible for Medicaid. In addition, individuals who meet all the eligibility requirements, with the exception of income, may be eligible if the amount of medical expenses owed is greater than the amount by which their income exceeds the established income standards. Children born after Sept. 30, 1980 whose family income is less than 185% of the poverty level, and pregnant women whose income is less than 250% of the poverty level are also eligible.

The Medicaid program objectives are supported by certain key services provided to recipients: HealthTrack provides education regarding access to health care for Medicaid recipients under 21 eligible for Medicaid. "Home and community-based care" waivers allow for the provision of certain non-medical services in order to avoid more costly institutionalization of individuals. The department is also working with schools to expand the availability and accessibility of school-based medical care for Medicaid eligible students.

If you are enrolled in the Title XIX Medicaid program and need to locate a provider click on the link: Title XIX Providers

For other help with prescription drug costs, try:

Download the Medicaid Brochure


 
HUSKY D – also known as Medicaid for Low-Income Adults 
 
This program is open to low-income Connecticut residents aged 19 through 64, who do not receive federal Supplemental Security Income or Medicare.
 
Application:
The application for the Medicaid for Low-Income Adults program is actually a combined application with other State of Connecticut health coverage programs. If you are not eligible for the Medicaid for Low-Income Adults program, you may be eligible for another of our medical programs.
This form can now be filled out online and then printed for mailing.
 
 

 
DSS Guide to Durable Medical Equipment

DSS is the state agency responsible for administering the Medicaid program that provides payment for health care services. One health care service available from Medicaid is the Durable Medical Equipment program.
 

Please follow this link to view a page on getting durable medical equipment through the Medicaid Program: Durable Medical Equipment


Connecticut Aids Drug Assistance (CADAP)

This program pays for drugs determined by the U.S. Food and Drug Administration to prolong the life of people with AIDS, or HIV infection. To be eligible for the program in Connecticut, an individual must have a physician certification that the individual has HIV infection, HIV disease or AIDS, must not be a recipient of Medicaid, and must have net countable income within 400% of the Federal Poverty Level. In addition, the individual must apply for Medicaid within two weeks of approval for this program.

The department receives federal funding for the program under Ryan White Title II grants that are awarded to the Department of Public Health. 

View the CADAP Application or CADAP Application (en Español) and a  or current list of Approved Generic Drugs


Healthy Start

Under this program, grants are made to hospitals, clinics, departments of health and other organizations to expand and enhance health services to low income pregnant women and children, and to assist women in obtaining Medicaid coverage for themselves and their children. Healthy Start contracts are jointly administered by the Department of Social Services and the Department of Public Health and Addiction Services.


 

HUSKY (Healthcare for UninSured Kids and Youth)

Health coverage for all children and teenagers under age 19, eligible pregnant women and eligible parents and relative caregivers.

Please follow this link to see the HUSKY Health Care website : HUSKY Health Care


 

Connecticut Home Care Program (CHCPE)

The Connecticut Home Care Program is a state and federally funded program that provides an array of home care services.  The program helps eligible Connecticut residents remain at home instead of prematurely going to a nursing facility.  Depending on the eligible person's health and living circumstances, the services offered may include home health services, homemaker services, visiting nurse services, adult day center services, adult foster care services, chore services, care management, home delivered meals, companion services, emergency response system, minor home modification depending upon availability of funds and assisted living services in approved managed residential communities (MRC).

Please follow this link to go to the CHCPE website: CHCPE


ConnMAP

The Connecticut Medicare Assignment Program (ConnMAP) ensures that eligible Medicare enrollees are charged no more than the reasonable and necessary rate established by the federal government for Medicare covered services received from health care providers.

Individuals who are residents of Connecticut, enrolled in Medicare Part B, and have incomes no greater than 165% of the income limits for the Connecticut Pharmaceutical Assistance (ConnPACE) Program (currently $43,560 if single or $58,740 for couples) are eligible to participate in the program. ConnPACE program participants are automatically eligible for ConnMAP.


Refugee Medical Assistance

The refugee medical assistance program provides medical assistance to needy individuals, families and children designated as refugees under Immigration and Naturalization Service regulations who are not eligible to receive benefits from any other public assistance program. Benefits continue for a maximum of eight months beginning with the month of entry into the United States. Benefits are the same as in the Medicaid program, and are 100% federally funded.

Please follow this link for more information: The General Assistance and Refugee Team


Certificate of Need

The department is the certificate of need authority for Connecticut for nursing homes and home health agencies.

See the Certificate of Need and Rate Setting Division page for more information.


Rate Setting

The department sets rates that can be charged by hospitals, home health agencies, nursing homes and licensed boarding homes.

See the Certificate of Need and Rate Setting Division for more information.



Content Last Modified on 4/4/2014 10:30:35 AM