Title 17b, Title 17b: Social Services

Sec. 17b-278m. Medicaid coverage of biomarker testing. Definitions. Requirements for coverage. Appeals. (a) As used in this section: (1) “Biomarker” means a characteristic, including, but not limited to, a gene mutation or protein expression that can be objectively measured and e…

Sec. 17b-278n. Medicaid coverage of rapid whole genome sequencing for critically ill infants. Data use restrictions. Medical necessity criteria. (a) As used in this section, (1) “rapid whole genome sequencing” means a test designed to diagnose genetic disorders in time to inform …

Sec. 17b-279. (Formerly Sec. 17-134aa). Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report. The Commissioner of Social Services shall verify the propriety and reasonableness of payments to pro…

Sec. 17b-280. (Formerly Sec. 17-134bb). Reimbursement rate for covered outpatient drugs under the Medicaid program. (a) Effective on and after April 1, 2017, the Commissioner of Social Services shall revise the reimbursement methodology and professional dispensing fees for covere…

Sec. 17b-280a. Payment for over-the-counter medications under medical assistance program. Exceptions. No payment shall be made under a medical assistance program administered by the Department of Social Services for over-the-counter medications, except for (1) insulin and insulin…

Sec. 17b-280b. Proposed revisions to reimbursement methodology for covered outpatient drugs under the Medicaid program. Legislative review. (a) On and after October 31, 2017, the Commissioner of Social Services shall submit any proposed revision to the reimbursement methodology a…

Sec. 17b-280c. Methadone maintenance. Minimum rates. Increase for providers receiving lowest weekly rates of reimbursement. (a) For purposes of this section: (1) “Methadone maintenance” means a chemical maintenance program under which an addiction to one drug, including, but not …

Sec. 17b-281. (Formerly Sec. 17-134cc). Payment of oxygen products and services under medical assistance program. Notwithstanding any provision of the regulations of Connecticut state agencies, effective July 1, 1989, the state shall pay for oxygen products and services for Medic…

Sec. 17b-281a. Procedure for preauthorization of purchase or rental of durable medical equipment. (a) The Commissioner of Social Services shall extend the procedure in effect on October 1, 1998, for the preauthorization of the purchase or rental of new durable medical equipment a…

Sec. 17b-281b. Used durable medical equipment. Payments to vendors or suppliers. The Commissioner of Social Services may authorize payment for used durable medical equipment to a vendor or supplier of durable medical equipment enrolled as a medical equipment, devices and supplies…

Sec. 17b-281c. Authority of commissioner to modify medical equipment fee schedules. The Commissioner of Social Services may modify the state medical assistance durable medical equipment, medical surgical supply, oxygen, orthotic and prosthetic devices and hearing aid fee schedule…

Sec. 17b-282. (Formerly Sec. 17-134dd). Medical assistance for certain children and elderly and disabled persons. On and after January 1, 1991, the Commissioner of Social Services may provide, in accordance with federal law and regulations and within available appropriations, med…

Sec. 17b-282a. Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons. The Commissioner of Social Services, to the extent permitted by federal law, shall amend the Medicaid state plan to provide coverage for general an…

Sec. 17b-282b. Implementation of state-wide dental plan. Waiver. Not later than July 1, 2004, and prior to the implementation of a state-wide dental plan that provides for the administration of the dental services portion of the department's medical assistance, the Commissioner o…

Sec. 17b-282c. Nonemergency dental services. Regulations. (a) All nonemergency dental services provided under the Department of Social Services' dental programs, as described in section 17b-282b, shall be subject to prior authorization. Nonemergency services that are exempt from …

Sec. 17b-282d. Commissioner to modify nonemergency dental services. Regulations. (a) The Commissioner of Social Services shall modify the extent of nonemergency adult dental services provided under the Medicaid program. Such modifications shall include, but are not limited to, pr…

Sec. 17b-282e. Orthodontic services for Medicaid recipients under twenty-one years of age. The Department of Social Services shall cover orthodontic services for a Medicaid recipient under twenty-one years of age when the Salzmann Handicapping Malocclusion Index indicates a corre…

Sec. 17b-282f. Mobile dental clinics. Medicaid coverage areas. Regulations. (a) For purposes of this section, (1) “mobile dental clinic” means preventative or restorative dental services offered by a licensed dentist or dental hygienist from a van or through the use of portable e…

Sec. 17b-283. (Formerly Sec. 17-134ee). Medicaid home and community-based services waiver program for children and young adults with disabilities. The Commissioner of Social Services shall, within available appropriations, administer a Medicaid waiver program pursuant to Section …

Sec. 17b-283a. Active duty armed forces member application for Medicaid home or community-based program on behalf of eligible spouse or child. Notwithstanding any provision of the general statutes, any member of the armed forces, as defined in subsection (a) of section 27-103, wh…

Sec. 17b-284. (Formerly Sec. 17-134ff). Medical assistance for certain employed persons. (a) The Commissioner of Social Services may continue, within available appropriations, to provide Medicaid to employed persons who have conditions which prevent them from obtaining health ins…

Sec. 17b-285. (Formerly Sec. 17-134gg). Assignment of spousal support of an institutionalized person or person in need of institutional care. Notwithstanding any provision of the general statutes, an institutionalized person or person in need of institutional care who applies for…

Sec. 17b-286. Medicaid management information system. Reports. Section 17b-286 is repealed, effective October 1, 2003. (P.A. 93-262, S. 1, 87; 93-418, S. 35, 41; 93-435, S. 59, 95; P.A. 03-268, S. 13.)

Sec. 17b-287. (Formerly Sec. 17-292a). Assistance for person who needs hospitalization and is not a resident of any town. Section 17b-287 is repealed, effective March 1, 2004. (1959, P.A. 536; P.A. 83-575, S. 7, 10; P.A. 86-415, S. 8; May Sp. Sess. P.A. 92-16, S. 15, 89; P.A. 93-…

Sec. 17b-288. Organ transplant account. Regulations. (a) There is established an organ transplant account which shall be a separate, nonlapsing account within the General Fund. Any moneys collected under the contribution system established under section 12-743 shall be deposited …

Sec. 17b-289. Short title: HUSKY and HUSKY Plus Act. HUSKY Plan, Part A and HUSKY Plan, Part B participants. Section 17b-289 is repealed, effective June 19, 2015. (Oct. 29 Sp. Sess. P.A. 97-1, S. 1, 23; P.A. 05-44, S. 1; P.A. 07-185, S. 5; P.A. 15-69, S. 45.)

Sec. 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 stepp…

Sec. 17b-291. Children's health insurance plan. Section 17b-291 is repealed, effective June 19, 2015. (Oct. 29 Sp. Sess. P.A. 97-1, S. 3, 23; June Sp. Sess. P.A. 00-2, S. 20, 53; P.A. 03-19, S. 42; P.A. 15-69, S. 45.)

Sec. 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. (a) A child who resides in a household with household income that exceeds one hundre…

Sec. 17b-292a. Information for redetermination of eligibility under HUSKY Plan. Section 17b-292a is repealed, effective June 19, 2015. (P.A. 01-137, S. 8, 9; P.A. 09-9, S. 26; P.A. 15-69, S. 45.)

Sec. 17b-292b. Prenatal care under HUSKY B. Unborn child option. Income eligibility. As used in this section, “unborn child option” means a state option available under the Children's Health Insurance Program pursuant to Title XXI of the Social Security Act, as amended from time …

Sec. 17b-293. Minimum benefit coverage under HUSKY Plan, Part B. Section 17b-293 is repealed, effective August 20, 2003. (Oct. 29 Sp. Sess. P.A. 97-1, S. 5, 23; P.A. 99-284, S. 50, 60; June 30 Sp. Sess. P.A. 03-3, S. 96.)

Sec. 17b-294. HUSKY Plus programs. Section 17b-294 is repealed, effective July 1, 2010. (Oct. 29 Sp. Sess. P.A. 97-1, S. 6, 23; P.A. 98-8, S. 1, 5; P.A. 10-179, S. 160.)

Sec. 17b-294a. HUSKY Plus program. Administration. Eligibility. Regulations. Section 17b-294a is repealed, effective July 6, 2021. (June Sp. Sess. P.A. 10-1, S. 33; P.A. 15-69, S. 26; P.A. 16-19, S. 1; P.A. 21-123, S. 8.)

Sec. 17b-295. Cost-sharing requirements under HUSKY B. (a) The commissioner shall impose cost-sharing requirements, including the payment of a premium or copayment, in connection with services provided under HUSKY B, to the extent permitted by federal law. Copayments under HUSKY …

Sec. 17b-296. Provision for clinicians in managed care plans. Provision by managed care organizations of services under HUSKY Plan. Section 17b-296 is repealed, effective July 1, 2010. (Oct. 29 Sp. Sess. P.A. 97-1, S. 8, 23; June Sp. Sess. P.A. 01-2, S. 23; June Sp. Sess. P.A. 01…

Sec. 17b-297. Outreach programs for HUSKY Plan, Part A and Part B. Section 17b-297 is repealed, effective June 19, 2015. (Oct. 29 Sp. Sess. P.A. 97-1, S. 9, 23; June 30 Sp. Sess. P.A. 03-3, S. 57; P.A. 07-185, S. 8; P.A. 10-179, S. 68; P.A. 11-44, S. 171; P.A. 15-69, S. 45.)

Sec. 17b-297a. Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY B. The Commissioner of Social Services may seek a waiver, if required, under Title XXI of the Social Security Act to authorize the use of funds received under said …

Sec. 17b-297b. Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Health program. (a) To the extent permitted by federal law, the Commissioners of Social Services and Education, in consultation with the b…

Sec. 17b-298. Regulations re quality of care under HUSKY Plan. Outcome criteria. Sanctions. Reports re HUSKY Plans to General Assembly. Section 17b-298 is repealed, effective July 1, 2010. (Oct. 29 Sp. Sess. P.A. 97-1, S. 10, 23; P.A. 10-179, S. 160.)

Sec. 17b-299. Applications. Approval. Section 17b-299 is repealed, effective June 19, 2015. (Oct. 29 Sp. Sess. P.A. 97-1, S. 11, 23; P.A. 01-137, S. 5, 9; P.A. 10-13, S. 7; P.A. 15-69, S. 45; 15-247, S. 31.)

Sec. 17b-300. Notification of member's change of circumstance. The applicant for a HUSKY B member shall notify the Department of Social Services of any change in circumstance that could affect the member's continued eligibility for coverage under HUSKY B within thirty days of suc…

Sec. 17b-301. Recovery of payment for false statement, misrepresentation or concealment. Any payment made by the state on behalf of an enrollee as a result of any false statement, misrepresentation or concealment of or failure to disclose income or health insurance coverage by an…

Secs. 17b-301a to 17b-301p. Prohibited acts re medical assistance: Definitions. Prohibited acts re medical assistance; penalties. Attorney General's investigation of prohibited acts; civil action. Civil action by individual; consent for withdrawal; manner of service; complaint un…

Sec. 17b-302. Public involvement in design and implementation of HUSKY Plan, Part B. Submission of plan for public involvement to General Assembly. Section 17b-302 is repealed, effective July 1, 2010. (Oct. 29 Sp. Sess. P.A. 97-1, S. 14, 23; P.A. 10-179, S. 160.)

Sec. 17b-303. Income disregard. Application for federal waiver. Section 17b-303 is repealed, effective June 19, 2015. (Oct. 29 Sp. Sess. P.A. 97-1, S. 15, 23; P.A. 98-8, S. 3, 5; P.A. 15-69, S. 45.)