§ 17b-220 Reimbursement of medical providers
§ 17b-221 Regulations. Reimbursement of hospitals
§ 17b-221a Revenue from Riverview Hospital to be used to pay Medicaid claims
§ 17b-221b Federal matching funds for special-education-related services. Portion to be used for Medicaid claims
§ 17b-222 “Humane institution” defined. Daily report
§ 17b-223 Support in humane institutions
§ 17b-224 Liability of patient for per capita cost of care
§ 17b-225 Availability of patient information to certain agencies
§ 17b-226 Consideration of the costs mandated by collective bargaining agreements
§ 17b-226a Provider billing rates for goods and services
§ 17b-227 Payment for services in state humane institutions
§ 17b-228 Court action by state to recover unpaid portion of charges
§ 17b-229 Liability for prior charges
§ 17b-230 Claim of state on death of institution patient
§ 17b-231 Refund for support of persons in state institutions
§ 17b-232 Payment for board and care in boarding home, group home, chronic and convalescent hospital or other residential facility
§ 17b-233 Care of handicapped and other children at Newington Children’s Hospital. Children with drug-related conditions not to be admitted
§ 17b-236 Admission of physically disabled children to The Children’s Center
§ 17b-237 State aid toward support of children at center
§ 17b-238 State payments to hospitals
§ 17b-239 Payments to hospitals, emergency department physicians. Value-based methodologies. Readmission penalties. Compliance with federal law. Regulations
§ 17b-239a Payments to short-term general hospitals located in certain distressed municipalities and targeted investment communities with enterprise zones
§ 17b-239b Chronic disease hospitals. Prior authorization procedures. Regulations
§ 17b-239c Interim disproportionate share payments to short-term general hospitals
§ 17b-239d Payments for outpatient hospital services
§ 17b-239e Hospital rate plan. Supplemental pools and payments. Quality measures
§ 17b-240 State payments to hospitals. Rates established by the Office of Health Care Access division of the Department of Public Health
§ 17b-241 Payments to mental health and substance abuse residential facilities and freestanding detoxification centers
§ 17b-241a Payments to the Department of Mental Health and Addiction Services for targeted case management services. Submission of expenditures for intensive care management
§ 17b-241b Rate for private psychiatric residential treatment facilities
§ 17b-242 Payments to home health care agencies and home health aide agencies. Appeals. Hearings. Authorized practitioners. Regulations
§ 17b-242a Prior authorization for Medicaid home health services, physical therapy, occupational therapy and speech therapy. Regulations
§ 17b-242b Pilot program for ventilator-dependent Medicaid recipients receiving medical care at home
§ 17b-243 Payments to rehabilitation centers
§ 17b-244 Payments to private facilities providing functional or vocational services for severely handicapped persons and payments for residential care. Establishment of rate. Regulations
§ 17b-244a Rates for payment to residential facilities for individuals with intellectual disabilities
§ 17b-245 Payments to day care and vocational training programs sponsored by certain associations
§ 17b-245a Payments to federally qualified health centers
§ 17b-245b Federally qualified health centers. Reimbursement methodology in the Medicaid program
§ 17b-245c Demonstration project to provide telemedicine to Medicaid recipients at federally qualified community health centers
§ 17b-245d Information to be provided by federally qualified health centers. Adjustment of encounter rates
§ 17b-245e Telehealth services provided under the Medicaid program. Report
§ 17b-245f Diabetes. Program to recommend federally-qualified health centers and other covered entities. Working group. Medicaid waiver. Report to General Assembly. Regulations
§ 17b-245g Telehealth services under the Connecticut medical assistance program. Audio-only telehealth services. Coverage criteria. Reimbursement
§ 17b-246 Rates to include reimbursement for reasonable costs mandated by collective bargaining agreements
§ 17b-247 Contracts for stock and standard durable medical equipment. Payment of laboratory services
§ 17b-248 Liability of home or institution having life care contract
§ 17b-249 Support of mentally ill persons accused of crime
§ 17b-250 Payment of hospital expense of inmate transferred from correctional institution
§ 17b-252 Connecticut Partnership for Long-Term Care
§ 17b-253 Connecticut Partnership for Long-Term Care: Amendments to Medicaid regulations and state plan. Regulations
§ 17b-254 Connecticut Partnership for Long-Term Care: Foundation funds and federal approval. Report
§ 17b-255 Insurance assistance for people with AIDS. Managed care insurance program for persons with AIDS
§ 17b-256 Prescription drug and insurance assistance program for persons with acquired immunodeficiency syndrome or human immunodeficiency virus. Annual report. Enrollment in Medicare Part D
§ 17b-256d State medical assistance program. Use of federally-qualified community health centers
§ 17b-256e Reports re potential participants in affordable pharmaceutical drug program
§ 17b-256f Eligibility for Medicare savings programs. Regulations
§ 17b-257a Qualified alien eligibility for Medicaid. Medical assistance for certain qualified alien children and pregnant women
§ 17b-257b Alien eligibility for state medical assistance. Regulations
§ 17b-257c Payments to long-term care facilities for care of illegal immigrants admitted to acute care or psychiatric hospitals. Eligibility. Regulations
§ 17b-257d Notice of terminating alien’s state medical assistance
§ 17b-257e Postpartum care for women without legal immigration status. Income eligibility
§ 17b-258 Health insurance assistance for unemployed persons
§ 17b-259 Medically necessary services
§ 17b-259a Imposition of cost sharing requirements on recipients of medical assistance. Exception
§ 17b-259b “Medically necessary” and “medical necessity” defined. Notice of denial of services. Regulations
§ 17b-260 Acceptance of federal grants for medical assistance
§ 17b-260a Medicaid-financed home and community-based programs for individuals with acquired brain injury. Advisory committee
§ 17b-260b Home and community-based service waivers serving persons with acquired brain injury and persons with intellectual disability. Amendments
§ 17b-260c Medicaid waiver to provide coverage for family planning services
§ 17b-260d Home and community-based services waiver serving persons with acquired immune deficiency syndrome or human immunodeficiency virus
§ 17b-260e Federal funding reductions. Requirements for state to offset Medicaid reductions for family planning services
§ 17b-261 Medicaid. Eligibility. Assets. Waiver from federal law
§ 17b-261a Transfer or assignment of assets resulting in the imposition of a penalty period. Return or partial return of asset. Regulations
§ 17b-261b Program eligibility determined by department. Spousal support
§ 17b-261c Medical assistance. Changes in circumstances
§ 17b-261d Disease management initiative. Implementation. Annual report
§ 17b-261e Mobile field hospital: HUSKY Health program coverage
§ 17b-261f Mobile field hospital account
§ 17b-261g Reimbursement under Medicaid program for certain therapy services provided to children by home health care agencies
§ 17b-261h Enrollment of HUSKY A recipients in available employer-sponsored private health insurance. Waiver from federal law. Regulations
§ 17b-261i Administrative services for Medicaid recipients. Regulations
§ 17b-261j Easy Breathing model in HUSKY Health program
§ 17b-261k Protected amount for the community spouse of an institutionalized Medicaid applicant. Regulations
§ 17b-261l Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations
§ 17b-261m Administrative services organization. Contract for services. Establishment of rates
§ 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
§ 17b-261o Imposition of penalty period when undue hardship exists. Exception
§ 17b-261p Notice re determination of penalty period. Filing claim of undue hardship. Nursing home involvement
§ 17b-261q Action by nursing home facility to collect debt for unpaid care provided during penalty period
§ 17b-261r Determination of applied income. Notice. Action by nursing home facility to recover applied income
§ 17b-261s Copy of complaint, judgment or decree to be mailed in action by nursing home facility
§ 17b-261t Contents of Medicaid benefits cards
§ 17b-261u Alternate coverage after loss of Medicaid eligibility for parent or needy caretaker relative. Review. Quarterly reports
§ 17b-261v Parent or needy caretaker relative. Review of Medicaid coverage options
§ 17b-261w Prior authorization, utilization review criteria for medical assistance. Waivers. Suspensions. Notice requirements
§ 17b-261x Minimum protected resource allowance for community spouse of institutionalized Medicaid recipient
§ 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
§ 17b-262 Regulations. Admissions to nursing home facilities
§ 17b-263 Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services
§ 17b-263a Amendment to state Medicaid plan to include assertive community treatment teams and community support services
§ 17b-263b Pilot program for individuals ages nineteen to twenty-one with a mental disorder and chronic health condition. Eligibility
§ 17b-263c Medical homes. Regulations
§ 17b-264 Extension of other public assistance provisions
§ 17b-265 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
§ 17b-265a Physicians providing services to dually eligible Medicaid and Medicare clients. Rates
§ 17b-265b Reimbursement rates for pathologists
§ 17b-265c Medicaid and Medicare dually eligible pilot program
§ 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
§ 17b-265e Medicare Part D Supplemental Needs Fund. Payment by department for nonformulary prescription drugs. Rebates required for pharmaceutical manufacturers. Contracts for supplemental rebates
§ 17b-265f Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy
§ 17b-265g Health insurer. Duties owed to the state and Commissioner of Social Services
§ 17b-266 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
§ 17b-266a Contract with pharmacy benefits management organization
§ 17b-267 Use of fiscal intermediaries in connection with medical assistance
§ 17b-268 Withdrawal of member of group providing services
§ 17b-269 Bonding of officers and employees
§ 17b-270 Liability of agency and its officers
§ 17b-271 Termination of agreement
§ 17b-272 Personal fund allowance
§ 17b-273 Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services
§ 17b-274 Periodic investigations of pharmacies by Division of Criminal Justice. Brand medically necessary. Procedure for prior approval to dispense brand name drug. Disclosure
§ 17b-274a Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list
§ 17b-274b Pharmaceutical purchasing initiative. Annual report
§ 17b-274c Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program
§ 17b-274d Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Automatic refill recommendations. Supplemental rebates. Administrative hearings
§ 17b-274e Prescription drugs. Utilization of cost-efficient dosages
§ 17b-274f Step therapy program for Medicaid prescription drugs
§ 17b-274g Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements
§ 17b-274h Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process
§ 17b-275 Physician and pharmacy lock-in procedure
§ 17b-276 Competitive bidding process for nonemergency transportation services. Disclosure of payment source. Fee schedules
§ 17b-276a Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations
§ 17b-276b Nonemergency medical transportation services. Prior authorization
§ 17b-276c Payment for medically necessary mode of transportation service
§ 17b-277 Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. Postpartum care
§ 17b-277a Program to inform applicants to the Healthy Start program of services provided by the Connecticut Home Visiting System
§ 17b-277b Healthy Start program. Plan. Review
§ 17b-277c Medicaid coverage for donor breast milk. Requirements. Regulations
§ 17b-278 Home leave absences for certain medical assistance recipients
§ 17b-278a Coverage for treatment for smoking cessation
§ 17b-278b Medical assistance for breast and cervical cancer
§ 17b-278c Amendment to state Medicaid plan to provide mammogram examinations to certain women
§ 17b-278d Amendment to state Medicaid plan and state children’s health insurance plan to provide neuropsychological testing for children diagnosed with cancer
§ 17b-278e Amendment to state Medicaid plan to exclude payment for hospital-acquired conditions
§ 17b-278f Amendment to state Medicaid plan to provide treatment for tuberculosis
§ 17b-278g Medical assistance for eyeglasses and contact lenses. Regulations
§ 17b-278h Medical assistance for chiropractic services. Regulations
§ 17b-278i Medical assistance for customized wheelchairs. Repairs. Refurbished equipment, parts and components. Regulations
§ 17b-278j Complex rehabilitation technology. Definitions. Report
§ 17b-278k Electronic transmission of prescriptions for durable medical equipment
§ 17b-279 Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report
§ 17b-280 Reimbursement rate for covered outpatient drugs under the Medicaid program
§ 17b-280a Payment for over-the-counter medications under medical assistance program. Exceptions
§ 17b-280b Proposed revisions to reimbursement methodology for covered outpatient drugs under the Medicaid program. Legislative review
§ 17b-280c Methadone maintenance. Minimum rates
§ 17b-281 Payment of oxygen products and services under medical assistance program
§ 17b-281a Procedure for preauthorization of purchase or rental of durable medical equipment
§ 17b-281b Used durable medical equipment. Payments to vendors or suppliers
§ 17b-281c Authority of commissioner to modify medical equipment fee schedules
§ 17b-282 Medical assistance for certain children and elderly and disabled persons
§ 17b-282a Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons
§ 17b-282b Implementation of state-wide dental plan. Waiver
§ 17b-282c Nonemergency dental services. Regulations
§ 17b-282d Commissioner to modify nonemergency dental services. Regulations
§ 17b-282e Orthodontic services for Medicaid recipients under twenty-one years of age
§ 17b-282f Mobile dental clinics. Medicaid coverage areas. Regulations
§ 17b-283 Medicaid home and community-based services waiver program for children and young adults with disabilities
§ 17b-283a Active duty armed forces member application for Medicaid home or community-based program on behalf of eligible spouse or child
§ 17b-284 Medical assistance for certain employed persons
§ 17b-285 Assignment of spousal support of an institutionalized person or person in need of institutional care
§ 17b-286 Medicaid management information system. Reports
§ 17b-287 Assistance for person who needs hospitalization and is not a resident of any town
§ 17b-288 Organ transplant account. Regulations
§ 17b-289 Short title: HUSKY and HUSKY Plus Act. HUSKY Plan, Part A and HUSKY Plan, Part B participants
§ 17b-290 Definitions
§ 17b-291 Children’s health insurance plan
§ 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
§ 17b-292a Information for redetermination of eligibility under HUSKY Plan
§ 17b-292b Prenatal care under HUSKY B. Unborn child option. Income eligibility
§ 17b-293 Minimum benefit coverage under HUSKY Plan, Part B
§ 17b-294 HUSKY Plus programs
§ 17b-294a HUSKY Plus program. Administration. Eligibility. Regulations
§ 17b-295 Cost-sharing requirements under HUSKY B
§ 17b-296 Provision for clinicians in managed care plans. Provision by managed care organizations of services under HUSKY Plan
§ 17b-297 Outreach programs for HUSKY Plan, Part A and Part B
§ 17b-297a Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY B
§ 17b-297b Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Health program
§ 17b-298 Regulations re quality of care under HUSKY Plan. Outcome criteria. Sanctions. Reports re HUSKY Plans to General Assembly
§ 17b-299 Applications. Approval
§ 17b-300 Notification of member’s change of circumstance
§ 17b-301 Recovery of payment for false statement, misrepresentation or concealment
§ 17b-302 Public involvement in design and implementation of HUSKY Plan, Part B. Submission of plan for public involvement to General Assembly
§ 17b-303 Income disregard. Application for federal waiver
§ 17b-304 Regulations
§ 17b-306 Plan for a system of preventive health services for children in the HUSKY Health program
§ 17b-306a Child health quality improvement program. Purpose and scope. Annual reports
§ 17b-307 Primary care case management pilot program
§ 17b-307a Medicaid reimbursement system incentivizing collaboration between primary care providers and behavioral and mental health care providers for HUSKY Health program members
§ 17b-311 Charter Oak Health Plan
§ 17b-312 Medicaid waiver to seek federal funds to support the Covered Connecticut program
§ 17b-313 Innovation waiver for health care expansion
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Terms Used In Connecticut General Statutes > Chapter 319v - Medical Assistance

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • another: may extend and be applied to communities, companies, corporations, public or private, limited liability companies, societies and associations. See Connecticut General Statutes 1-1
  • Answer: The formal written statement by a defendant responding to a civil complaint and setting forth the grounds for defense.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Committee membership: Legislators are assigned to specific committees by their party. Seniority, regional balance, and political philosophy are the most prominent factors in the committee assignment process.
  • Common law: The legal system that originated in England and is now in use in the United States. It is based on judicial decisions rather than legislative action.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Counterclaim: A claim that a defendant makes against a plaintiff.
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Decedent: A deceased person.
  • Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
  • Dependent: A person dependent for support upon another.
  • Donor: The person who makes a gift.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Executor: A male person named in a will to carry out the decedent
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fiduciary: A trustee, executor, or administrator.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Indemnification: In general, a collateral contract or assurance under which one person agrees to secure another person against either anticipated financial losses or potential adverse legal consequences. Source: FDIC
  • intellectual disability: means a significant limitation in intellectual functioning existing concurrently with deficits in adaptive behavior that originated during the developmental period before eighteen years of age. See Connecticut General Statutes 1-1g
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Liabilities: The aggregate of all debts and other legal obligations of a particular person or legal entity.
  • month: means a calendar month, and the word "year" means a calendar year, unless otherwise expressed. See Connecticut General Statutes 1-1
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Oath: A promise to tell the truth.
  • oath: shall include affirmations in cases where by law an affirmation may be used for an oath, and, in like cases, the word "swear" shall include the word "affirm". See Connecticut General Statutes 1-1
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Power of attorney: A written instrument which authorizes one person to act as another's agent or attorney. The power of attorney may be for a definite, specific act, or it may be general in nature. The terms of the written power of attorney may specify when it will expire. If not, the power of attorney usually expires when the person granting it dies. Source: OCC
  • Probate: Proving a will
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Quorum: The number of legislators that must be present to do business.
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Settlement: Parties to a lawsuit resolve their difference without having a trial. Settlements often involve the payment of compensation by one party in satisfaction of the other party's claims.
  • Statute: A law passed by a legislature.
  • Statute of limitations: A law that sets the time within which parties must take action to enforce their rights.
  • Subpoena: A command to a witness to appear and give testimony.
  • succeeding: when used by way of reference to any section or sections, mean the section or sections next preceding, next following or next succeeding, unless some other section is expressly designated in such reference. See Connecticut General Statutes 1-1
  • Testimony: Evidence presented orally by witnesses during trials or before grand juries.
  • Trustee: A person or institution holding and administering property in trust.
  • Uphold: The decision of an appellate court not to reverse a lower court decision.