Health & Home Care

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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.

• 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.

• Certificate of Need (CON)

  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.

• Medicaid Methadone Clinic Reimbursement

  The Office of Reimbursement and Certificate of Need (CON) is responsible for establishing Medicaid reimbursement methodologies for chemical maintenance clinics (methadone).

• 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.

• 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.

• 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.

• School Based Child Health (SBCH)

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

• Certified Community Behavioral Health Clinics

  In August 2015 the State of Connecticut, specifically the Departments of Social Services, Mental Health and Addiction Services, and Children and Families, submitted an application for the Substance Abuse and Mental Health Services Administration (SAMHSA) funding opportunity 16-001, Certified Community Behavioral Health Clinics Planning Grant.

• Primary Care Redesign

  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.

• Disability Services

  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.

• Durable Medical Equipment

  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

• Med-Connect (Medicaid for Employees with Disabilities)

  Medicaid for Employees with Disabilities, also known as MED-Connect, provides medical assistance to employed individuals with disabilities. Enrollees can earn up to $75,000 per year and qualify for full Medicaid/HUSKY Health coverage.

• 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.