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Connecticut Health Programs

Health Care

The state of Connecticut actually offers many great (compared to other states) public health programs.  In order to qualify for these programs you generally either need to be from a low-income individual or family, elderly, have a disability, or a specific medical condition and requirement. The Department of Social Services administers many programs designed to assist Connecticut residents in meeting their medical care needs.
A general list is here:
  • Connecticut Medical Assistance Program
  • Medicaid for the Employed Disabled
  • Medicaid
  • Medicaid for Low-Income Adults (Formerly SAGA Medical Assistance)
  • DSS Guide to Durable Medical Equipment
  • Connecticut Insurance Assistance Program for AIDS Patients (CIAPAP)
  • Connecticut Aids Drug Assistance (CADAP)
  • Healthy Start
  • HUSKY (Healthcare for UninSured Kids and Youth)
  • Connecticut Home Care Program (CHCPE)
  • ConnPACE
  • ConnMAP
  • Refugee Medical Assistance
  • Certificate of Need
  • Rate Setting

Connecticut Medical Assistance Program

The Department provides medical assistance to low income persons and people who could otherwise support themselves if not for the fact that they have excessive health care costs.  Assistance is provided through a variety of programs and administrative functions.  To learn more about Connecticut’s Medical Assistance Program go to: Connecticut Medical Assistance Program

Information for health care providers enrolled or interested in more detailed information regarding the Connecticut Medical Assistance Program can be found at:  Connecticut Medical Assistance Program

 


Medicaid for the Employed Disabled

The Medicaid for the Employed Disabled program was authorized by The Ticket to Work and Work Incentives Improvement Act of 1999. Its implementation in Connecticut is mandated under Public Act 00-213 Work Incentives for Persons with Disabilities. The program allows persons with a disability to engage in employment without risking eligibility for needed medical services through the Medicaid program. The program also allows certain individuals to keep other necessary services needed to remain employed. In general an eligible person with a disabling condition who is employed, can qualify for Medicaid without the use of spenddown while earning income in excess of traditional income limits.
More information can be found on the Medicaid for the Employed Disabled Program page.

Medicaid

The Medicaid program provides for remedial, preventive, and long term medical care for income eligible aged, blind or disabled individuals, and families with children. Payment is made directly to health care providers, by the department, for services delivered to eligible individuals. The program complies with federal Medicaid law (Title XIX of the Social Security Act) and regulations in order to receive 50% reimbursement from the federal government.

Individuals may meet Medicaid eligibility requirements in a number of ways. Individuals or families who meet the income and asset eligibility criteria in effect for Aid To Families with Dependent Children (AFDC) on July 16, 1996 or the State Supplement program are eligible for Medicaid. In addition, individuals who meet all the eligibility requirements, with the exception of income, may be eligible if the amount of medical expenses owed is greater than the amount by which their income exceeds the established income standards. Children born after Sept. 30, 1980 whose family income is less than 185% of the poverty level, and pregnant women whose income is less than 185% of the poverty level are also eligible.

The Medicaid program objectives are supported by certain key services provided to recipients: HealthTrack provides education regarding access to health care for Medicaid recipients under 21 eligible for Medicaid. “Home and community-based care” waivers allow for the provision of certain non-medical services in order to avoid more costly institutionalization of individuals. The department is also working with schools to expand the availability and accessibility of school-based medical care for Medicaid eligible students.

If you are enrolled in the Title XIX Medicaid program and need to locate a provider click on the link: Title XIX Providers

For other help with prescription drug costs, try:

Download the Medicaid Brochure


Medicaid for Low-Income Adults
Connecticut is the first state to receive federal approval to expand Medicaid under the Affordable Care Act (national health care reform legislation). This new Medicaid coverage is replacing the State-Administered General Assistance (SAGA) medical program. Medicaid for Low-Income Adults (MLIA) is open to Connecticut residents aged 19 through 64, who do not receive federal Supplemental Security Income or Medicare and who are not pregnant.
  • In Brief:  New Medicaid Coverage for Low-Income Adults
  • More information on Medicaid for Low-Income Adults

DSS Guide to Durable Medical Equipment

DSS is the state agency responsible for administering the Medicaid program that provides payment for health care services. One health care service available from Medicaid is the Durable Medical Equipment program.

Please follow this link to view a page on getting durable medical equipment through the Medicaid Program: Durable Medical Equipment


Connecticut Aids Drug Assistance (CADAP)

This program pays for drugs determined by the U.S. Food and Drug Administration to prolong the life of people with AIDS, or HIV infection. To be eligible for the program in Connecticut, an individual must have a physician certification that the individual has HIV infection, HIV disease or AIDS, must not be a recipient of Medicaid, and must have net countable income within 400% of the Federal Poverty Level. In addition, the individual must apply for Medicaid within two weeks of approval for this program.

The department receives federal funding for the program under Ryan White Title II grants that are awarded to the Department of Public Health.

View the CADAP Application and a current list of Approved Drugs on our Publications page


Healthy StartUnder this program, grants are made to hospitals, clinics, departments of health and other organizations to expand and enhance health services to low income pregnant women and children, and to assist women in obtaining Medicaid coverage for themselves and their children. Healthy Start contracts are jointly administered by the Department of Social Services and the Department of Public Health and Addiction Services.


HUSKY (Healthcare for UninSured Kids and Youth)Health coverage for all children and teenagers under age 19, eligible pregnant women and eligible parents and relative caregivers.

Please follow this link to see the HUSKY Health Care website : HUSKY Health Care

 


Connecticut Home Care Program (CHCPE)The Connecticut Home Care Program is a state and federally funded program that provides an array of home care services.  The program helps eligible Connecticut residents remain at home instead of prematurely going to a nursing facility.  Depending on the eligible person’s health and living circumstances, the services offered may include home health services, homemaker services, visiting nurse services, adult day center services, adult foster care services, chore services, care management, home delivered meals, companion services, emergency response system, minor home modification depending upon availability of funds and assisted living services in approved managed residential communities (MRC).

Please follow this link to go to the CHCPE website: CHCPE


ConnPACE (Connecticut Pharmaceutical Assistance Contract to the Elderly and Disabled)

ConnPACE is an outstanding service that helps eligible senior citizens and
people with disabilities afford the cost of most prescription medicines.

If you are a Connecticut resident aged 65 or older, or with a disability aged
18 or older, you may qualify for ConnPACE. Please check our new,
higher income eligibility levels, which are helping many more people join
ConnPACE.

Besides covering most prescriptions, ConnPACE pays for insulin and
insulin syringes and needles.

Please click here to go to the ConnPACE website.

The ConnPACE Application can be found on our Publications page


ConnMAPThe Connecticut Medicare Assignment Program (ConnMAP) ensures that eligible Medicare enrollees are charged no more than the reasonable and necessary rate established by the federal government for Medicare covered services received from health care providers.

Individuals who are residents of Connecticut, enrolled in Medicare Part B, and have incomes no greater than 165% of the income limits for the Connecticut Pharmaceutical Assistance (ConnPACE) Program (currently $41,415 if single or $55,770 for couples) are eligible to participate in the program. ConnPACE program participants are automatically eligible for ConnMAP.


Refugee Medical AssistanceThe refugee medical assistance program provides medical assistance to needy individuals, families and children designated as refugees under Immigration and Naturalization Service regulations who are not eligible to receive benefits from any other public assistance program. Benefits continue for a maximum of eight months beginning with the month of entry into the United States. Benefits are the same as in the Medicaid program, and are 100% federally funded.

Please follow this link for more information: The General Assistance and Refugee Team


Certificate of NeedThe department is the certificate of need authority for Connecticut for nursing homes and home health agencies.

See the Certificate of Need and Rate Setting Division page for more information.


Rate SettingThe department sets rates that can be charged by hospitals, home health agencies, nursing homes and licensed boarding homes.

See the Certificate of Need and Rate Setting Division for more information.

Content Last Modified on 9/16/2010 9:43:47 AM

 

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