Health & Home Care
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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.
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Medicaid Hospital Reimbursement
The Office of Reimbursement and Certificate of Need (CON) is responsible for establishing Medicaid reimbursement methodologies for inpatient services, outpatient hospital services, Disproportionate Share Hospital (DSH) payments and hospital supplemental payments.
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Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Medicaid
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Federally Qualified Health Center (FQHC) Medicaid Reimbursement
Federally Qualified Health Centers provide health care for uninsured and underserved populations. Reimbursement and CON is responsible for review of FQHC cost reports, and establishment of Medicaid reimbursement.
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The State of Connecticut offers a variety of services to help eligible individuals who need support to live at home or to return to community living. Many of the programs are administered under a Medicaid ‘waiver,’ meaning that Connecticut has received federal approval to waive certain Medicaid requirements to meet the service needs of older adults and adults with disabilities in the community.
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School Based Child Health (SBCH)
Medicaid School Based Child Health reimbursement information for School Districts and Providers.
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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).
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Connecticut Integrated Care for Kids
The InCK Model will assist states and local communities in addressing priority health concerns for children.
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Connecticut Home Care Program for Elders (CHCPE)
This program provides services to help eligible residents live in the community. Eligible applicants must be 65 years of age or older, be at risk of nursing home placement and meet the program’s financial eligibility criteria. To be at risk of nursing home placement means that the applicant needs assistance with critical needs such as bathing, dressing, eating, taking medications and toileting. CHCPE helps clients continue living at home instead of going to a nursing home. Each applicant’s needs are reviewed to determine if he/she may remain at home with the help of home care services.
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The Department of Social Services Durable Medical Equipment program provides equipment to help you move around: canes, crutches, walkers and wheelchairs. DME also includes equipment needed to care for you at home: bed pans, heat lamps or pads, hospital beds, special toilet seats and machines that help make breathing easier. *Service available to Medicaid recipients only
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Community Living Arrangements (CLA)
Community Living Arrangements (CLA) also known as group homes, offer individuals the opportunity to live in the community.
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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.
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Connecticut AIDS Drug Assistance Program (CADAP)
CADAP is a service that helps eligible Connecticut residents with HIV or AIDS afford the cost of medications approved by the U.S. Food and Drug Administration.
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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.