Title 17b — Title 17b: Social Services
21 chapters · 695 sections in this title.
Conn. Gen. Stat. § 17b-261i Administrative services for Medicaid recipients. Regulations.
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Sec. 17b-261i. Administrative services for Medicaid recipients. Regulations. Section 17b-261i is repealed, effective June 19, 2015. (Sept. Sp. Sess. P.A. 09-5, S. 60; P.A. 10-179, S. 77; P.A. 11-44, S. 170; P.A. 15-69, S. 45.)
Conn. Gen. Stat. § 17b-261j Easy Breathing model in HUSKY Health program.
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Sec. 17b-261j. Easy Breathing model in HUSKY Health program. The Commissioner of Social Services may require utilization of the Easy Breathing model in the HUSKY Health program. (Sept. Sp. Sess. P.A. 09-5, S. 75; P.A. 15-69, S. 21.) History: Sept. Sp. Sess. P.A. 09-5 effective Oc…
Conn. Gen. Stat. § 17b-261k Protected amount for the community spouse of an institutionalized Medicaid applicant. Regulations.
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Sec. 17b-261k. Protected amount for the community spouse of an institutionalized Medicaid applicant. Regulations. Section 17b-261k is repealed, effective July 1, 2011. (P.A. 10-73, S. 1; P.A. 11-44, S. 178.)
Conn. Gen. Stat. § 17b-261l Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations.
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Sec. 17b-261l. Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations. The Commissioner of Social Services shall amend the Medicaid state plan to require that funds derived from equity in home property through a reverse annuity mortgage loan or other home…
Conn. Gen. Stat. § 17b-261m Administrative services organization. Contract for services. Establishment of rates.
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Sec. 17b-261m. Administrative services organization. Contract for services. Establishment of rates. (a) The Commissioner of Social Services may contract with one or more administrative services organizations to provide care coordination, utilization management, disease management…
Conn. Gen. Stat. § 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.
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Sec. 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. Section 17b-261n is repealed, effective January 1, 2014. (June Sp. Sess. P…
Conn. Gen. Stat. § 17b-261o Imposition of penalty period when undue hardship exists. Exception.
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Sec. 17b-261o. Imposition of penalty period when undue hardship exists. Exception. (a) Except as provided in subsection (c) of this section, the Commissioner of Social Services shall not impose a penalty period pursuant to subsection (a) of section 17b-261 or subsection (a) of se…
Conn. Gen. Stat. § 17b-261p Notice re determination of penalty period. Filing claim of undue hardship. Nursing home involvement.
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Sec. 17b-261p. Notice re determination of penalty period. Filing claim of undue hardship. Nursing home involvement. (a) As used in this section and section 17b-261o, “applicant” means an applicant for or recipient of medical assistance pursuant to section 17b-261. (b) If the Comm…
Conn. Gen. Stat. § 17b-261q Action by nursing home facility to collect debt for unpaid care provided during penalty period.
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Sec. 17b-261q. Action by nursing home facility to collect debt for unpaid care provided during penalty period. (a) For purposes of this section and sections 17b-261r and 17b-261s, (1) “nursing home facility” means a chronic and convalescent nursing home and a rest home with nursi…
Conn. Gen. Stat. § 17b-261r Determination of applied income. Notice. Action by nursing home facility to recover applied income.
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Sec. 17b-261r. Determination of applied income. Notice. Action by nursing home facility to recover applied income. (a) For purposes of this section, “applied income” means the income of a recipient of medical assistance, pursuant to section 17b-261, that is required, after the ex…
Conn. Gen. Stat. § 17b-261s Copy of complaint, judgment or decree to be mailed in action by nursing home facility.
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Sec. 17b-261s. Copy of complaint, judgment or decree to be mailed in action by nursing home facility. Upon commencement of any action brought under section 17b-261q or 17b-261r, a nursing home facility shall mail a copy of the complaint to the Attorney General and the Commissione…
Conn. Gen. Stat. § 17b-261t Contents of Medicaid benefits cards.
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Sec. 17b-261t. Contents of Medicaid benefits cards. Section 17b-261t is repealed, effective July 2, 2015. (P.A. 14-62, S. 2; P.A. 15-165, S. 3.)
Conn. Gen. Stat. § 17b-261u Alternate coverage after loss of Medicaid eligibility for parent or needy caretaker relative. Review. Quarterly reports.
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Sec. 17b-261u. Alternate coverage after loss of Medicaid eligibility for parent or needy caretaker relative. Review. Quarterly reports. (a) The Commissioner of Social Services shall review whether a parent or needy caretaker relative, who qualifies for Medicaid coverage under Sec…
Conn. Gen. Stat. § 17b-261v Parent or needy caretaker relative. Review of Medicaid coverage options.
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Sec. 17b-261v. Parent or needy caretaker relative. Review of Medicaid coverage options. The Commissioner of Social Services shall review whether a parent or needy caretaker relative, who qualifies for Medicaid coverage under Section 1931 of the Social Security Act and is no longe…
Conn. Gen. Stat. § 17b-261w Prior authorization, utilization review criteria for medical assistance. Waivers. Suspensions. Notice requirements.
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Sec. 17b-261w. Prior authorization, utilization review criteria for medical assistance. Waivers. Suspensions. Notice requirements. The Commissioner of Social Services may waive or suspend, in whole or in part, to the extent the commissioner deems necessary, any prior authorizatio…
Conn. Gen. Stat. § 17b-261x Minimum protected resource allowance for community spouse of institutionalized Medicaid recipient.
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Sec. 17b-261x. Minimum protected resource allowance for community spouse of institutionalized Medicaid recipient. (a) For purposes of this section: (1) “Institutionalized spouse” has the same meaning as provided in 42 USC 1396r-5(h)(1); (2) “Community spouse” has the same meaning…
Conn. Gen. Stat. § 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.
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Sec. 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. The Department of Social Services shall compile annual data concerning the denial of …
Conn. Gen. Stat. § 17b-262 (Formerly Sec. 17-134d). Regulations. Admissions to nursing home facilities.
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Sec. 17b-262. (Formerly Sec. 17-134d). Regulations. Admissions to nursing home facilities. The Commissioner of Social Services may make such regulations as are necessary to administer the medical assistance program. Such regulations shall include provisions requiring the Departme…
Conn. Gen. Stat. § 17b-263 (Formerly Sec. 17-274b). Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services.
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Sec. 17b-263. (Formerly Sec. 17-274b). Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services. (a) The Commissioner of Social Services shall extend the provisions of section 17-134d-11 of the regulations of Connecticut stat…
Conn. Gen. Stat. § 17b-263a Amendment to state Medicaid plan to include assertive community treatment teams and community support services.
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Sec. 17b-263a. Amendment to state Medicaid plan to include assertive community treatment teams and community support services. Section 17b-263a is repealed, effective June 6, 2018. (P.A. 05-280, S. 84; P.A. 11-215, S. 9; P.A. 18-99, S. 2.)
Conn. Gen. Stat. § 17b-263b Pilot program for individuals ages nineteen to twenty-one with a mental disorder and chronic health condition. Eligibility.
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Sec. 17b-263b. Pilot program for individuals ages nineteen to twenty-one with a mental disorder and chronic health condition. Eligibility. Section 17b-263b is repealed, effective July 1, 2011. (P.A. 05-280, S. 11; P.A. 11-44, S. 178.)
Conn. Gen. Stat. § 17b-263c Medical homes. Regulations.
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Sec. 17b-263c. Medical homes. Regulations. (a) The Commissioner of Social Services may establish medical homes as a model for delivering care to recipients of assistance under medical assistance programs administered by the Department of Social Services. (b) The commissioner may …
Conn. Gen. Stat. § 17b-264 (Formerly Sec. 17-134e). Extension of other public assistance provisions.
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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…
Conn. Gen. Stat. § 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.
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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…
Conn. Gen. Stat. § 17b-265a Physicians providing services to dually eligible Medicaid and Medicare clients. Rates.
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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 …
Conn. Gen. Stat. § 17b-265b Reimbursement rates for pathologists.
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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…
Conn. Gen. Stat. § 17b-265c Medicaid and Medicare dually eligible pilot program.
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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…
Conn. Gen. Stat. § 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.
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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…
Conn. Gen. Stat. § 17b-265e Medicare Part D Supplemental Needs Fund. Payment by department for nonformulary prescription drugs. Rebates required for pharmaceutical manufacturers. Contracts for supplemental rebates.
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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…
Conn. Gen. Stat. § 17b-265f Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy.
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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…
Conn. Gen. Stat. § 17b-265g Health insurer. Duties owed to the state and Commissioner of Social Services.
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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…
Conn. Gen. Stat. § 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 and services.
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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…
Conn. Gen. Stat. § 17b-266a Contract with pharmacy benefits management organization.
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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.)
Conn. Gen. Stat. § 17b-267 (Formerly Sec. 17-134h). Use of fiscal intermediaries in connection with medical assistance.
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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 …
Conn. Gen. Stat. § 17b-268 (Formerly Sec. 17-134i). Withdrawal of member of group providing services.
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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…
Conn. Gen. Stat. § 17b-269 (Formerly Sec. 17-134j). Bonding of officers and employees.
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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…
Conn. Gen. Stat. § 17b-27 Voluntary parentage establishment program. Protocols. Regulations. Voluntary acknowledgment of parentage system established by Department of Public Health.
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Sec. 17b-27. Voluntary parentage establishment program. Protocols. Regulations. Voluntary acknowledgment of parentage system established by Department of Public Health. (a) Each hospital or other institution where births occur, and each entity that is approved by the Commissioner…
Conn. Gen. Stat. § 17b-270 (Formerly Sec. 17-134k). Liability of agency and its officers.
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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…
Conn. Gen. Stat. § 17b-271 (Formerly Sec. 17-134l). Termination of agreement.
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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…
Conn. Gen. Stat. § 17b-272 (Formerly Sec. 17-134m). Personal fund allowance.
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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…
Conn. Gen. Stat. § 17b-273 (Formerly Sec. 17-134o). Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services.
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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…
Conn. Gen. Stat. § 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.
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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…
Conn. Gen. Stat. § 17b-274a Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list.
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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;…
Conn. Gen. Stat. § 17b-274b Pharmaceutical purchasing initiative. Annual report.
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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.)
Conn. Gen. Stat. § 17b-274c Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program.
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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 …
Conn. Gen. Stat. § 17b-274d Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Automatic refill recommendations. Supplemental rebates. Administrative hearings.
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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…
Conn. Gen. Stat. § 17b-274e Prescription drugs. Utilization of cost-efficient dosages.
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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…
Conn. Gen. Stat. § 17b-274f Step therapy program for Medicaid prescription drugs.
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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…
Conn. Gen. Stat. § 17b-274g Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements.
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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…
Conn. Gen. Stat. § 17b-274h Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process.
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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…