Title 17b, Title 17b: Social Services

Sec. 17b-264. (Formerly Sec. 17-134e). Extension of other public assistance provisions. All of the provisions of sections 17b-22, 17b-75 to 17b-77, inclusive, 17b-79 to 17b-83, inclusive, 17b-85 to 17b-103, inclusive, and 17b-600 to 17b-604, inclusive, are extended to the medical…

Sec. 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. (a) In accordance wi…

Sec. 17b-265a. Physicians providing services to dually eligible Medicaid and Medicare clients. Rates. Effective April 1, 2003, the Commissioner of Social Services shall, within available Medicaid appropriations, grant a rate increase to physicians who provide services to clients …

Sec. 17b-265b. Reimbursement rates for pathologists. (a) The Commissioner of Social Services shall reimburse pathologists, licensed pursuant to chapter 370, who provide medical services to individuals under programs administered by the department, for the professional component o…

Sec. 17b-265c. Medicaid and Medicare dually eligible pilot program. The Commissioner of Social Services, to the extent permitted by federal law, shall amend the Medicaid state plan to establish a pilot program serving not more than five hundred elderly or disabled state medical a…

Sec. 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. (a) As used in this section, “full benefit dually eligib…

Sec. 17b-265e. Medicare Part D Supplemental Needs Fund. Payment by department for nonformulary prescription drugs. Rebates required for pharmaceutical manufacturers. Contracts for supplemental rebates. Section 17b-265e is repealed, effective July 1, 2011. (Nov. 2 Sp. Sess. P.A. 0…

Sec. 17b-265f. Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy. No pharmacy shall claim payment from the Department of Social Services under a medical assistance program administered by the department for prescription drugs dispensed to indiv…

Sec. 17b-265g. Health insurer. Duties owed to the state and Commissioner of Social Services. Any health insurer, including a self-insured plan, group health plan, as defined in Section 607(1) of the Employee Retirement Income Security Act of 1974, service benefit plan, managed ca…

Sec. 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 an…

Sec. 17b-266a. Contract with pharmacy benefits management organization. Section 17b-266a is repealed, effective July 1, 2010. (P.A. 04-258, S. 7; P.A. 10-179, S. 160.)

Sec. 17b-267. (Formerly Sec. 17-134h). Use of fiscal intermediaries in connection with medical assistance. (a) If any group or association of providers of medical assistance services wishes to have payments as provided for under sections 17b-260 to 17b-262, inclusive, 17b-264 to …

Sec. 17b-268. (Formerly Sec. 17-134i). Withdrawal of member of group providing services. If the nomination of an agency or organization as provided in section 17b-267 is made by a group or association of providers of services, it shall not be binding on members of the group or as…

Sec. 17b-269. (Formerly Sec. 17-134j). Bonding of officers and employees. An agreement with an agency or organization under section 17b-267 may require any of its officers or employees certifying payments or disbursing funds pursuant to the agreement, or otherwise participating i…

Sec. 17b-270. (Formerly Sec. 17-134k). Liability of agency and its officers. (a) No individual designated pursuant to an agreement under section 17b-267 as a certifying officer shall, in the absence of gross negligence or intent to defraud the state, be liable with respect to any…

Sec. 17b-271. (Formerly Sec. 17-134l). Termination of agreement. An agreement with the Commissioner of Social Services under section 17b-267 may be terminated: (1) By the agency or organization which entered into such agreement at such time and upon such notice to the Commissione…

Sec. 17b-272. (Formerly Sec. 17-134m). Personal fund allowance. The Commissioner of Social Services shall permit patients residing in nursing homes, chronic disease hospitals and state humane institutions who are medical assistance recipients under sections 17b-260 to 17b-262, in…

Sec. 17b-273. (Formerly Sec. 17-134o). Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services. On and after April 1, 1983, the Commissioner of Social Services shall increase the payment rate for ambulance rides eligi…

Sec. 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. (a) The Division of Criminal Justice shall periodically investigate pharm…

Sec. 17b-274a. Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list. Section 17b-274a is repealed, effective July 1, 2021. (May 9 Sp. Sess. P.A. 02-1, S. 118; May 9 Sp. Sess. P.A. 02-7, S. 53; P.A. 04-76, S. 17; P.A. 11-44, S. 126;…

Sec. 17b-274b. Pharmaceutical purchasing initiative. Annual report. Section 17b-274b is repealed, effective July 1, 2005. (May 9 Sp. Sess. P.A. 02-1, S. 123; May 9 Sp. Sess. P.A. 02-7, S. 56; P.A. 04-76, S. 18; P.A. 05-280, S. 104.)

Sec. 17b-274c. Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program. (a) The Commissioner of Social Services may establish a voluntary mail order option for any maintenance prescription drug covered under the Medicaid …

Sec. 17b-274d. Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Automatic refill recommendations. Supplemental rebates. Administrative hearings. (a) Pursuant to 42 USC 1396r-8, there is established a Pharmaceutical and Therapeutics Committee wi…

Sec. 17b-274e. Prescription drugs. Utilization of cost-efficient dosages. A pharmacist, when filling a prescription under the Medicaid program, shall fill such prescription utilizing the most cost-efficient dosage, consistent with the prescription of a prescribing practitioner as…

Sec. 17b-274f. Step therapy program for Medicaid prescription drugs. (a) The Commissioner of Social Services may establish a step therapy program for prescription drugs in the Medicaid program. The commissioner may condition payment for such drugs on a requirement that the drug p…

Sec. 17b-274g. Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements. (a) The Commissioner of Social Services shall not impose a cost-sharing requirement for the purchase of prescription dr…

Sec. 17b-274h. Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process. (a) The Commissioner of Social Services, in accordance with subsections (b) to (d), inclusive, of this section, may prohibit a pharmacy provider from automatically r…

Sec. 17b-275. (Formerly Sec. 17-134r). Physician and pharmacy lock-in procedure. The Commissioner of Social Services shall implement, not later than October 1, 1984, a physician and pharmacy lock-in procedure to restrict the use of the health care delivery system by medical assis…

Sec. 17b-276. (Formerly Sec. 17-134s). Competitive bidding process for nonemergency transportation services. Disclosure of payment source. Fee schedules. (a) The Commissioner of Social Services shall identify geographic areas of the state where competitive bidding for nonemergenc…

Sec. 17b-276a. Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations. Notwithstanding any provision of the general statutes, on or before June 30, 2003, the Commissioner of Social Services, in consultation with the S…

Sec. 17b-276b. Nonemergency medical transportation services. Prior authorization. All brokers of nonemergency medical transportation services that are provided under contract with the Department of Social Services shall provide a decision on a request for prior authorization for …

Sec. 17b-276c. Payment for medically necessary mode of transportation service. The Commissioner of Social Services shall only authorize payment for the mode of transportation service that is medically necessary for a recipient of assistance under a medical assistance program admi…

Sec. 17b-277. (Formerly Sec. 17-134u). Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. Postpartum care. (a) The Commissioner of Social Services shall provide, in accordance with federal law and regulations, medical assistance…

Sec. 17b-277a. Program to inform applicants to the Healthy Start program of services provided by the Connecticut Home Visiting System. The Commissioners of Public Health, Social Services and Mental Health and Addiction Services shall jointly establish a program to inform applican…

Sec. 17b-277b. Healthy Start program. Plan. Review. Section 17b-277b is repealed, effective July 1, 2016. (P.A. 13-234, S. 122; 13-247, S. 92; May Sp. Sess. P.A. 16-3, S. 209.)

Sec. 17b-277c. Medicaid coverage for donor breast milk. Requirements. Regulations. (a) The Commissioner of Social Services, to the extent permissible under federal law, shall provide Medicaid coverage for medically necessary pasteurized donor breast milk provided: (1) A physician…

Sec. 17b-277d. Medicaid payment for maternity services. Regulations. (a) To the extent permissible under federal law and within available appropriations, as the single state Medicaid agency designated under sections 17b-2 and 17b-260, the Commissioner of Social Services may imple…

Sec. 17b-278. (Formerly Sec. 17-134z). Home leave absences for certain medical assistance recipients. The Commissioner of Social Services shall amend the state's Medicaid plan to increase to thirty-six days per year the number of home leave absences allowed for a resident of an i…

Sec. 17b-278a. Coverage for treatment for smoking cessation. The Commissioner of Social Services shall amend the Medicaid state plan to provide coverage for treatment for smoking cessation. Notwithstanding the provisions of section 17b-280a, such treatment may include coverage fo…

Sec. 17b-278b. Medical assistance for breast and cervical cancer. (a) The Commissioner of Social Services shall provide coverage under the Medicaid program in accordance with Public Law 106-354 to women diagnosed with breast or cervical cancer. The commissioner shall seek any fed…

Sec. 17b-278c. Amendment to state Medicaid plan to provide mammogram examinations to certain women. The Commissioner of Social Services, to the extent permitted by federal law, shall amend the Medicaid state plan to provide coverage for mammographic examinations for any woman eli…

Sec. 17b-278d. Amendment to state Medicaid plan and state children's health insurance plan to provide neuropsychological testing for children diagnosed with cancer. The Commissioner of Social Services, to the extent permitted by federal law, shall take such action as may be neces…

Sec. 17b-278e. Amendment to state Medicaid plan to exclude payment for hospital-acquired conditions. The Commissioner of Social Services shall amend the Medicaid state plan to indicate that approved inpatient hospital rates are not applicable to hospital-acquired conditions that …

Sec. 17b-278f. Amendment to state Medicaid plan to provide treatment for tuberculosis. The Commissioner of Social Services shall amend the Medicaid state plan to provide coverage for the treatment of tuberculosis for any eligible person to the extent permitted under federal law. …

Sec. 17b-278g. Medical assistance for eyeglasses and contact lenses. Regulations. (a) To the extent permitted by federal law, no payment shall be provided by the Department of Social Services under the Medicaid program for more than one pair of eyeglasses every two years, except …

Sec. 17b-278h. Medical assistance for chiropractic services. Regulations. Section 17b-278h is repealed, effective July 1, 2015. (June 12 Sp. Sess. P.A. 12-1, S. 17; June Sp. Sess. P.A. 15-5, S. 520.)