Health & Home Care
Page 4 of 4
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The Department of Social Services is responsible for the Certificate of Need (CON) process for nursing homes, residential care homes and intermediate care facilities for individuals with intellectual disabilities.
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Connecticut Medicaid Rate Setting Reimbursement and CON Unit Nursing Home Cost Reports.
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The Department is conducting an evaluation and development of primary care, by engaging stakeholders. The stakeholder group is called The Primary Care Program Advisory Committee and is made up of a diverse group of stakeholders such as providers and CEOs, that represent the non-federally qualified health centers and federally qualified health centers that serve our members. The links for the recordings of the live meetings, slide decks, and meeting minutes are available on the webpage.
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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.
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Durable Medical Equipment (DME) Medicaid Reimbursement
The Department is revisiting reimbursement rates for Durable Medial Equipment (DME) to comply with federal regulations.
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Autism Spectrum Disorder - ASD
The Department of Social Services Waiver for Persons with Autism provides home-and community-based services to individuals with autism who do not have an intellectual disability (a full IQ score of 70 or higher).
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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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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.
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The Department administers programs which promote social, physical and economic well-being while providing people with disabilities with opportunities to achieve their full potential for self-direction. The Department works closely with an advisory council comprised primarily of people with disabilities which makes recommendations to improve the planning, development and administration of programs.
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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.