Connecticut Medicaid
Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. Our editors have compiled this digest of Connecticut Medicaid help and resources to assist in your search.
topics: Connecticut Medicaid: Connecticut Public Health Insurance: medical coverage, centers for Medicaid; Medicaid In Connecticut; Medicaid Assistance information; CT; definition Medicaid Connecticut: Connecticut Medicaid Eligibility: Applying for Connecticut Medicaid: Medicaid: Health Programs for Children: Connecticut CHIP:
Topics on this page:
Definitions of Medicaid Insurance in Connecticut
Medicaid in Connecticut*
"Medicaid, also known as Title XIX, can pay for health care for low income Connecticut residents who are: receiving State Supplement benefits; disabled or legally blind; 65 years old or more; a child under 21 years of age; the caretaker relative of a child under age 19; or pregnant.
"
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."
**source for both paragraphs above: State of Connecticut Department of Social Services, Hartford, CT 06106-5033
Children's Medicaid and Medical Assistance Programs in Connecticut
See the section on this page Health Programs for Children: CHIP: Connecticut
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Medicaid in Connecticut: How It Works; An Introduction to Connecticut Medicaid; What is Connecticut Medicaid?
- brochure:
Facts About
Medicaid...(Title 19)a medical assistance program
source:State of Connecticut Department of Social Services languages: English 2 pgs; from the brochure: "...Medicaid pays for many medical services, such as doctor visits, prescription drugs, inpatient and outpatient hospital care, laboratory services, home health care, nursing home care, transportation necessary to receive medical care and various other services. Some services may need prior approval from the Department.... "
- also from State of Connecticut Department of Social Services:
web page: Health Care languages: English from the web page: "...Access to quality health care is important to the state of Connecticut, and needs to be available to low-income individuals and families, the elderly, people with disabilities, and people with specific medical conditions and requirements... "
- web page:
MEDICAID | Connecticut
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute languages: English from the webpage: "...Medicaid... Medicaid is a program that provides health coverage to some low-income Connecticut residents. Medicaid covers families with children and pregnant women, medically needy individuals, the elderly, and people with disabilities, if state and federal guidelines are met... "
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- brochure:
Medicaid At-a-Glance
2005
source:Centers for Medicare & Medicaid Services
file size: 12 pg. languages: English
from the brochure:
"The Medicaid Program provides medical benefits to groups of low-income people, some who may have no medical insurance or inadequate medical insurance. Although the Federal government establishes general guidelines for the program, the Medicaid program requirements are actually established by each State...
"
- web page:
Key Medicaid Information for Connecticut for 2011
source:Elder Law Answers
languages: English
Explains important basics about Connecticut Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery..."
- brochure:
The Medicaid Program at a Glance
source:The Kaiser Commission on Medicaid and the Uninsured
file size: 2 pg. languages: English
This fact sheet provides an overview of the Medicaid program, the populations that it serves, the services that it covers and the expanded role it will play under the health reform law...
- also from The Kaiser Commission on Medicaid and the Uninsured:
brochure:
Medicaid: A Primer
languages: English
from the brochure:
"This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare...
"
- web page:
Connecticut & United States State Medicaid Fact Sheets
source:Kaiser Family Foundation
languages: English
- web page:
Connecticut Medicaid Program
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the web page:
" The Connecticut 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 Connecticut Department of Social Services, for services delivered to eligible individuals...
"
Connecticut Medicaid Eligibility; Medicaid Income Limits
- brochure:
THE
MEDICAID PROGRAM IN CONNECTICUT - BASIC ELIGIBILITY FOR THE ELDERLY, BLIND AND DISABLED
source:State of Connecticut Department of Social Services
languages: English
5 pgs; from the brochure:
"...ELIGIBLE PERSONS - Individuals age 65 or older - Disabled individuals between the ages of 18 and 65 - Blind Individuals....
"
- web page:
2011 HHS Poverty Guidelines
source: Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services
languages: English
from the web page:
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
- web page:
Medicaid Eligibility
source: Centers for Medicare & Medicaid Services
languages: English
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
- web page:
Medicaid Eligibility in a Skilled Nursing Facility in Connecticut
source:Connecticut Office of Policy and Management - Health and Human Services
languages: English
from the web page:
"In Connecticut, over 75% of Medicaid recipients were single when they applied (many were previously married and their spouse died) and became eligible after...
Connecticut Medicaid Citizenship Requirements
Applying for Connecticut Medicaid
- brochure:
Application for Assistance W-1F (4780KB)
source:State of Connecticut Department of Social Services
languages: English
18 pages; languages: English
from the brochure:
"...One or two person households who wish to apply for cash assistance, medical assistance (including help paying for a nursing home) or food stamps should use this application. You should print this application, complete it and return it to your local DSS office as soon as possible even ...
"
- also from State of Connecticut Department of Social Services:
brochure:
Applying for Medicaid to Pay for Long-Term Care
18 pages; languages: English
from the brochure:
"...One or two person households who wish to apply for cash assistance, medical assistance (including help paying for a nursing home) or food stamps should use this application. You should print this application, complete it and return it to your local DSS office as soon as possible even ...
"
- weeb page:
Application Information - Application Form and Instructions for HUSKY
source:HUSKY Healthcare - Department of Social Services
languages: English
18 pages; languages: English
from the brochure:
"...The first step to getting HUSKY health coverage is to send us an application. After downloading the HUSKY Application Form, please complete it and mail to the address on the form ...
"
- also from HUSKY Healthcare - Department of Social Services:
brochure:
HUSKY Enrollment Form
6 pages; languages: English
from the brochure:
"...downloadable application, including instructions ...
"
Connecticut Medicaid Area Offices
Connecticut Medicaid Health Plans, HMO
Find Connecticut Medicaid Physicians, Doctors
Children's Medicaid: Health Programs for Children: CHIP: Connecticut
What is Medicaid for children in Connecticut?
What is Connecticut HUSKY?
- "
HUSKY is Connecticut’s health insurance plan for children and families. The HUSKY Program provides health insurance coverage for over 345,000 children and parents. HUSKY A is Connecticut’s Medicaid program for
low-income families. HUSKY B is Connecticut’s State Children’s Health Insurance Program (SCHIP) for uninsured children in families with incomes over the limit for HUSKY A... HUSKY covers 1 in 4 Connecticut children
"
source: Connecticut Voices for Children, New Haven CT 06510
What is CHIP?
- "
Originally created in 1997, the Children's Health Insurance Program (CHIP) is a state and federal partnership that provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage. States have considerable flexibility to establish income eligibility rules for CHIP, but children enrolling in the program must be otherwise uninsured.
"
source: InsureKidsNow.gov - Sponsored by the U.S. Department of Health and Human Services., Washington, DC
- web page:
Benefit Overview
source:HUSKY Healthcare - Department of Social Services
languages: English
languages: English
from the brochure:
"...The HUSKY Health program offers a comprehensive health care benefit package. Basic benefits for all HUSKY Health members include...
"
- also from HUSKY Healthcare - Department of Social Services:
web page:
How to Qualify
languages: English
from the web page:
"...Children in households of all incomes may qualify for health coverage through the HUSKY Plan. And, depending on income, parents, relative caregivers and pregnant women may also qualify for HUSKY coverage...
"
- web page:
Connecticut Public Health Insurance for Children
source:National Center for Children in Poverty
languages: English
from the web page:
"Eligibility Criteria... Benefits... Participants... Spending...
"
- also from National Center for Children in Poverty:
web page:
Connecticut Public Health Insurance for Parents
languages: English
from the web page:
"Parents have access to public health insurance coverage primarily through plans that target “families”... Eligibility Criteria...
"
- web page:
Connecticut Demographics of Low-Income Children
source:National Center for Children in Poverty
languages: English
from the web page:
"Research suggests that, on average, families need an income of about twice the federal poverty level to meet their most basic needs. Children living in families with incomes below this level—$40,000 for a family of four in 2006—are referred to as low income...
"
- brochure or publication:
Connecticut Medicaid Facts
source:American Academy of Pediatrics
2 pages; languages: English
from the brochure:
"How does Medicaid help children in Connecticut? Children make up 50% of Connecticut’s Medicaid population, but are of very low cost, accounting for only 14% of the state’s Medicaid spending. In general, Connecticut children who are in families of four with incomes below $37,000 are eligible for Medicaid...
"
- publication / brochure:
Children’s Health Coverage Connecticut
source:Children's Defense Fund
languages: English
from the web page: "Connecticut has two programs that provide free and low-cost health coverage to children: If you are a family of four with income of $... or less, your child is eligible for HUSKY A Medicaid. If you are a family of four with income of $... or less, your child is eligible for HUSKY...."
- also from Children's Defense Fund:
brochure:
Health Coverage for All Children: Connecticut
2 pages; languages: English
from the brochure:
"Health Coverage for Connecticut’s Children:... How affordable is health coverage for Connecticut’s children?... How simple are enrollment procedures in CHIP and Medicaid for Connecticut’s children?
"
- web page:
Connecticut HUSKY Healthcare (SCHIP)
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the web page:
"The HUSKY Plan is designed to help all children who do not have health insurance. It includes services under the traditional Medicaid program (now known as HUSKY Part A). It also provides brand-new health services for children in higher-income families (called HUSKY Part B)... HUSKY gives a special boost to Connecticut's working families... With HUSKY, Connecticut children are covered..."
- web page:
Connecticut: CHIP Program Name and Type
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
"
Connecticut Medicaid Benefits and Coverage: Medicaid Services
Medicaid Prescription Drugs; Preferred Drug List
- see: CONNECTICUT MEDICAID Summary of Services listing and link in Connecticut Medicaid Benefits and Coverage: Medicaid Services section above.
Connecticut Medicaid Dental Services; Dentist
- brochure or publication:
Guide to Children's Dental Care in Medicaid
source:Centers for Medicare & Medicaid Services
52 pages; languages: English
from the brochure: "The Guide is intended to serve as a resource of current information on clinical practice, evolving technologies and recommendations in dental care. The guide is not intended to change current Medicaid policies, nor is it intended to impose any new requirements on states..."
- also from Centers for Medicare & Medicaid Services:
web page:
Medicaid Dental Coverage - Overview
languages: English
from the web page:
"Dental services under Title XIX of the Social Security Act, the Medicaid program, are an optional service for the adult population, individuals age 21 and older. However, dental services are a required service for most Medicaid-eligible individuals under the age of 21, as a required component of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit...
"
Connecticut Medicaid and Nursing Homes, Assisted Living, Home Health Care
- brochure:
LONG TERM CARE ISSUES and MEDICAID
source:State of Connecticut Department of Social Services
60 pages; languages: English
from the brochure:
"...The Department will look at your income and compare your counted income to the income limits of the Department of Social Services. If you have too much income you will be put into a spend-down period...
"
- also from State of Connecticut Department of Social Services:
brochure:
PERSONAL CARE ASSISTANCE Medicaid Waiver Program
2 pages; languages: English
from the brochure:
"...If you have a physical disability that requires you to have hands-on help with at least two of these activities of daily living, bathing dressing eating transferring toileting, you may be eligible for assistance under Medicaid to pay for a Personal Care Assistant (PCA)....
"
- brochure:
How to Get Durable Medical Equipment through the Medicaid Program
source:State of Connecticut Department of Social Services
2 pages; languages: English
from the brochure:
"...One health care service available from Medicaid is Durable Medical Equipment (DME). The purpose of this brochure is to explain what DME is and how to get it using your Medicaid coverage...
"
-
web site:The Connecticut Long Term Care Care Project
Connecticut Medicare Medicaid Nursing Homes Directory
languages: English
from the web page:
"These are Connecticut Nursing Homes in cities A - Z.
" In addition to the state directory described above, there are nursing home directories for principal Connecticut cities.
Connecticut Assisted Living
languages: English
from the web page:
"A consumer's guide to information and help about assisted living in Connecticut, with a directory of assisted living facilities...
"
Connecticut Medicare / Medicaid Dual Eligibles - Medicare Savings Program
Connecticut Medicaid Waiver Programs
Medicaid Community Waivers in Connecticut
"Medicaid waivers are a way for states to serve additional medically needy people living in the community who otherwise would not qualify for the regular Medicaid program because of income or other factors. When the federal Centers for Medicare and Medicaid Services approves a waiver, states can (1) set somewhat higher income limits for these groups, (2) limit the number of people who can qualify (“waiver slots”), and (3) make other adjustments to regular Medicaid rules. Waivers receive initial approval for three years and then the Department of Social Services (DSS), which administers the state’s Medicaid program, must apply to CMS for renewal every five years. States can also ask for amendments to their waivers at any time, which Connecticut has done.
Connecticut has seven Medicaid waivers in effect (2005). The first six are home and community-based services (HCBS) 1915 (c) waivers and the HUSKY A waiver is a 1915(b) general managed care and selective contracting waiver. "
*source: Connecticut General Assembly, Hartford, CT 06106
for more information, see:
- web page:
Paying for Your Needs
source:State of Connecticut Long-Term Care Services & Supports
languages: English
from the web page: "The Connecticut Medicaid Program offers some special programs to help individuals pay for their long-term care needs while living in the community. These programs have strict eligibility criteria and a maximum number of people they can serve at one time. While many of these programs have long waiting lists, please explore each one to see if they can help with your needs..."
More resources about Connecticut Medicaid Waiver Programs:
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CT: Connecticut Medicaid: The Medicaid Project, Eligibility, Connecticut Medicaid Rules, Application
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