Health & Home Care

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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.

• 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.

• 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.

• ICF IID

  Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Medicaid

• 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.

• Durable Medical Equipment (DME) Medicaid Reimbursement

  The Department is revisiting reimbursement rates for Durable Medial Equipment (DME) to comply with federal regulations.

• School Based Child Health (SBCH)

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

• 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.

• 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).

• 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.

• 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

• 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.

• Nursing Facility Cost Reports

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