Health & Home Care

Page 3 of 3

• Medicaid Nursing Home Reimbursement

  Under the Connecticut Medicaid program, payment rates for nursing homes are set on a cost-based prospective basis in accordance with Section 17b-340 of the Connecticut General Statutes and Section 17-311-52 of the Regulations of Connecticut State Agencies.

• Medicaid Nursing Home Reimbursement Modernization Acuity Based Methodology

  The Connecticut Department of Social Services (DSS) will be transitioning nursing facility reimbursement from a cost-based methodology to a prospective acuity-based or case mix, payment system. Visit this webpage for more information.

• Medicaid State Plan Amendments

  Current State Plan Amendments submitted to the Centers for Medicare & Medicaid Services (CMS) within the U.S. Department of Health and Human Services (HHS).

• Medicare Savings Program

  The State of Connecticut offers financial assistance to eligible Medicare enrollees through our 'Medicare Savings Programs.' These programs may help pay Medicare Part B premiums, deductibles and co-insurance.

• Money Follows the Person

• Non-Emergency Medical Transportation (NEMT)

  Medicaid Non-Emergency Medical Transportation (NEMT) is an important benefit for Medicaid members who need to get to and from Medicaid-covered medical services but have no means of transportation.

• Nursing Facility Cost Reports

  Connecticut Medicaid Rate Setting Reimbursement and CON Unit Nursing Home Cost Reports.

• PCA CERTIFICATION TEST

• PCMH+ Member Information

  Person-Centered Medical Home Plus or PCMH+ provides person-centered, comprehensive and coordinated care to HUSKY members.

• Person-Centered Medical Home Plus (PCMH+)

  PCMH+ provides person-centered, comprehensive and coordinated care. The purpose of this webpage is to provide PCMH+ Participating Entities with program information and updates.

• Reimbursement and Certificate of Need

  The primary functions of Reimbursement and Certificate of Need (CON) include establishment of payment rates for Connecticut's Mediciad medical and residential care services, cost report auditing, and performing certificate of need reviews for nursing facilities, residential care homes, and ICF/MR development projects. Cost based rates are issued on an annual basis by the unit for services including hospitals, nursing facilities, home health care, clinics, and community residences for the elderly and disabled; as well as state-operated psychiatric hospitals, ICF/MR and federal Medicaid waiver services.

• Residential Care Homes (RCH)

  Connecticut Residential Care Homes rates are set in accordance with state regulation. Cost reports for privately operated facilities are also used for rate setting purposes.

• School Based Child Health (SBCH)

  Medicaid School Based Child Health reimbursement information for School Districts and Providers.

• Special for Service Partners

  Welcome to our online toolkit for partners in service to Connecticut residents eligible for the HUSKY Health program. We hope you find this content informative and useful in helping clients access and maintain eligibility.

• The Personal Care Attendant Program

  The Department of Social Services operates the Personal Care Attendant Program that assists eligible adults who need assistance to remain at home. The goal of the PCA program is to provide an alternative to entering an institution and to have greater independence in a community setting.