For Providers
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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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Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Medicaid
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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).
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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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Connecticut Medicaid Rate Setting Reimbursement and CON Unit Nursing Home Cost Reports.
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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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This site provides important information to health care providers about the Connecticut Medical Assistance Program. This site contains a wealth of resources for providers including enrollment, billing manuals, bulletins, program regulations, plus information on Electronic Data Interchange and the Automated Eligibility Verification System.
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Information for pharmacy and health care providers, along with others interested in pharmacy-specific program information of the CT Medical Assistance Program (CTMAP), is available on the CTMAP website. This includes an extensive variety of topics, including Preferred Drug List Information and the Pharmaceutical and Therapeutics Committee.
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Children Health Insurance Program (CHIP) State Plan Amendment
HUSKY B is Connecticut’s Children’s Health Insurance Program (CHIP, also known as Title XXI). HUSKY B provides a free or low cost health insurance program for children and youth up to age 19 for families who are not income eligible for HUSKY A.
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Coronavirus Relief Fund Payments
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Medicaid Reimbursement information for the Birth to Three program.
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Online Hospital Notification of Newborn
***Hospital Use Only*** Please use this online form to submit the hospital notification of newborn information to DSS.
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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.
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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.