Sec. 17b-220. (Formerly Sec. 17-292g). Reimbursement of medical providers.

Sec. 17b-221. (Formerly Sec. 17-292h). Regulations. Reimbursement of hospitals.

Sec. 17b-221a. Revenue from Riverview Hospital to be used to pay Medicaid claims.

Sec. 17b-221b. Federal matching funds for special-education-related services. Portion to be used for Medicaid claims.

Sec. 17b-222. (Formerly Sec. 17-294). “Humane institution” defined. Daily report.

Sec. 17b-223. (Formerly Sec. 17-295). Support in humane institutions.

Sec. 17b-224. (Formerly Sec. 17-295b). Liability of patient for per capita cost of care.

Sec. 17b-225. (Formerly Sec. 17-295c). Availability of patient information to certain agencies.

Sec. 17b-226. (Formerly Sec. 17-295d). Consideration of the costs mandated by collective bargaining agreements.

Sec. 17b-226a. Provider billing rates for goods and services.

Sec. 17b-227. (Formerly Sec. 17-297). Payment for services in state humane institutions.

Sec. 17b-228. (Formerly Sec. 17-298). Court action by state to recover unpaid portion of charges.

Sec. 17b-229. (Formerly Sec. 17-299). Liability for prior charges.

Sec. 17b-230. (Formerly Sec. 17-300). Claim of state on death of institution patient.

Sec. 17b-231. (Formerly Sec. 17-301). Refund for support of persons in state institutions.

Sec. 17b-232. (Formerly Sec. 17-306). Payment for board and care in boarding home, group home, chronic and convalescent hospital or other residential facility.

Sec. 17b-233. (Formerly Sec. 17-307). Care of handicapped and other children at Newington Children's Hospital. Children with drug-related conditions not to be admitted.

Secs. 17b-234and17b-235. (Formerly Secs. 17-308 and 17-308a). State payment toward support of patients at Newington Children's Hospital. Payment of retroactive claims.

Sec. 17b-236. (Formerly Sec. 17-309). Admission of physically disabled children to The Children's Center.

Sec. 17b-237. (Formerly Sec. 17-310). State aid toward support of children at center.

Sec. 17b-238. (Formerly Sec. 17-311). State payments to hospitals.

Sec. 17b-239. (Formerly Sec. 17-312). Payments to hospitals, emergency department physicians. Regulations.

Sec. 17b-239a. Payments to short-term general hospitals located in certain distressed municipalities and targeted investment communities with enterprise zones.

Sec. 17b-239b. Chronic disease hospitals. Prior authorization procedures. Regulations.

Sec. 17b-239c. Interim disproportionate share payments to short-term general hospitals.

Sec. 17b-239d. Payments for outpatient hospital services.

Sec. 17b-239e. Hospital rate plan. Supplemental pools and payments.

Sec. 17b-240. (Formerly Sec. 17-312a). State payments to hospitals. Rates established by the Office of Health Care Access division of the Department of Public Health.

Sec. 17b-241. (Formerly Sec. 17-312b). Payments to mental health and substance abuse residential facilities and freestanding detoxification centers.

Sec. 17b-241a. Payments to the Department of Mental Health and Addiction Services for targeted case management services. Submission of expenditures for intensive care management.

Sec. 17b-241b. Rate for private psychiatric residential treatment facilities.

Sec. 17b-242. (Formerly Sec. 17-313). Payments to home health care agencies and homemaker-home health aide agencies. Appeals. Hearings. Regulations.

Sec. 17b-242a. Prior authorization for Medicaid home health services, physical therapy, occupational therapy and speech therapy. Regulations.

Sec. 17b-242b. Pilot program for ventilator-dependent Medicaid recipients receiving medical care at home.

Sec. 17b-243. (Formerly Sec. 17-313a). Payments to rehabilitation centers.

Sec. 17b-244. (Formerly Sec. 17-313b). Payments to private facilities providing functional or vocational services for severely handicapped persons and payments for residential care. Establishment of rate. Regulations.

Sec. 17b-244a. Rates for payment to residential facilities for individuals with intellectual disabilities.

Sec. 17b-245. (Formerly Sec. 17-313c). Payments to day care and vocational training programs sponsored by certain associations.

Sec. 17b-245a. Payments to federally qualified health centers.

Sec. 17b-245b. Federally qualified health centers. Reimbursement methodology in the Medicaid program.

Sec. 17b-245c. Demonstration project to provide telemedicine to Medicaid recipients at federally qualified community health centers.

Sec. 17b-245d. Information to be provided by federally qualified health centers. Adjustment of encounter rates.

Sec. 17b-245e. Telehealth services provided under the Medicaid program. Report.

Sec. 17b-246. (Formerly Sec. 17-313d). Rates to include reimbursement for reasonable costs mandated by collective bargaining agreements.

Sec. 17b-247. (Formerly Sec. 17-314l). Contracts for stock and standard durable medical equipment. Payment of laboratory services.

Sec. 17b-248. (Formerly Sec. 17-316). Liability of home or institution having life care contract.

Sec. 17b-249. (Formerly Sec. 17-317). Support of mentally ill persons accused of crime.

Sec. 17b-250. (Formerly Sec. 17-318). Payment of hospital expense of inmate transferred from correctional institution.

Sec. 17b-251. (Formerly Sec. 17a-307). Connecticut Partnership for Long-Term Care: Outreach program established.

Sec. 17b-252. (Formerly Sec. 17-12q). Connecticut Partnership for Long-Term Care.

Sec. 17b-253. (Formerly Sec. 17-12r). Connecticut Partnership for Long-Term Care: Amendments to Medicaid regulations and state plan. Regulations.

Sec. 17b-254. (Formerly Sec. 17-12s). Connecticut Partnership for Long-Term Care: Foundation funds and federal approval. Report.

Sec. 17b-255. (Formerly Sec. 17-12gg). Insurance assistance for people with AIDS. Managed care insurance program for persons with AIDS.

Sec. 17b-256. (Formerly Sec. 17-314m). Prescription drug and insurance assistance program for persons with acquired immunodeficiency syndrome or human immunodeficiency virus. Annual report. Enrollment in Medicare Part D.

Secs. 17b-256ato17b-256c. [Reserved]

Sec. 17b-256d. State medical assistance program. Use of federally-qualified community health centers.

Sec. 17b-256e. Reports re potential participants in affordable pharmaceutical drug program.

Sec. 17b-256f. Eligibility for Medicare savings programs. Regulations.

Sec. 17b-257. (Formerly Sec. 17-12ii).

Sec. 17b-257a. Qualified alien eligibility for Medicaid. Medical assistance for certain qualified alien children and pregnant women.

Sec. 17b-257b. Alien eligibility for state medical assistance. Regulations.

Sec. 17b-257c. Payments to long-term care facilities for care of illegal immigrants admitted to acute care or psychiatric hospitals. Eligibility. Regulations.

Sec. 17b-257d. Notice of terminating alien's state medical assistance.

Sec. 17b-258. (Formerly Sec. 17-12jj). Health insurance assistance for unemployed persons.

Sec. 17b-259. (Formerly Sec. 17-274). Medically necessary services.

Sec. 17b-259a. Imposition of cost sharing requirements on recipients of medical assistance. Exception.

Sec. 17b-259b. “Medically necessary” and “medical necessity” defined. Notice of denial of services. Regulations.

Sec. 17b-260. (Formerly Sec. 17-134a). Acceptance of federal grants for medical assistance.

Sec. 17b-260a. Medicaid-financed home and community-based programs for individuals with acquired brain injury. Advisory committee.

Sec. 17b-260b. Home and community-based service waivers serving persons with acquired brain injury and persons with intellectual disability. Amendments.

Sec. 17b-260c. Medicaid waiver to provide coverage for family planning services.

Sec. 17b-260d. Home and community-based services waiver serving persons with acquired immune deficiency syndrome or human immunodeficiency virus.

Sec. 17b-260e. Federal funding reductions. Requirements for state to offset Medicaid reductions for family planning services.

Sec. 17b-261. (Formerly Sec. 17-134b). Medicaid. Eligibility. Assets. Waiver from federal law.

Sec. 17b-261a. Transfer or assignment of assets resulting in the imposition of a penalty period. Return or partial return of asset. Regulations.

Sec. 17b-261b. Program eligibility determined by department. Spousal support.

Sec. 17b-261c. Medical assistance. Changes in circumstances.

Sec. 17b-261d. Disease management initiative. Implementation. Annual report.

Sec. 17b-261e. Mobile field hospital: HUSKY Health program coverage.

Sec. 17b-261f. Mobile field hospital account.

Sec. 17b-261g. Reimbursement under Medicaid program for certain therapy services provided to children by home health care agencies.

Sec. 17b-261h. Enrollment of HUSKY A recipients in available employer-sponsored private health insurance. Waiver from federal law. Regulations.

Sec. 17b-261i. Administrative services for Medicaid recipients. Regulations.

Sec. 17b-261j. Easy Breathing model in HUSKY Health program.

Sec. 17b-261k. Protected amount for the community spouse of an institutionalized Medicaid applicant. Regulations.

Sec. 17b-261l. Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations.

Sec. 17b-261m. Administrative services organization. Contract for services. Establishment of rates.

Sec. 17b-261n. Coverage for low-income adults under Medicaid program. Amendment to state Medicaid plan to establish alternative benefit package. Waiver application re eligibility and coverage. Regulations.

Sec. 17b-261o. Imposition of penalty period when undue hardship exists. Exception.

Sec. 17b-261p. Notice re determination of penalty period. Filing claim of undue hardship. Nursing home involvement.

Sec. 17b-261q. Action by nursing home facility to collect debt for unpaid care provided during penalty period.

Sec. 17b-261r. Determination of applied income. Notice. Action by nursing home facility to recover applied income.

Sec. 17b-261s. Copy of complaint, judgment or decree to be mailed in action by nursing home facility.

Sec. 17b-261t. Contents of Medicaid benefits cards.

Sec. 17b-261u. Alternate coverage after loss of Medicaid eligibility for parent or needy caretaker relative. Review. Quarterly reports.

Sec. 17b-261v. Parent or needy caretaker relative. Review of Medicaid coverage options.

Sec. 17b-262. (Formerly Sec. 17-134d). Regulations. Admissions to nursing home facilities.

Sec. 17b-263. (Formerly Sec. 17-274b). Utilization of outpatient mental health services. Contracts for services. Fee schedule and payment for services.

Sec. 17b-263a. Amendment to state Medicaid plan to include assertive community treatment teams and community support services.

Sec. 17b-263b. Pilot program for individuals ages nineteen to twenty-one with a mental disorder and chronic health condition. Eligibility.

Sec. 17b-263c. Medical homes. Regulations.

Sec. 17b-264. (Formerly Sec. 17-134e). Extension of other public assistance provisions.

Sec. 17b-265. (Formerly Sec. 17-134f). Department subrogated to right of recovery of applicant or recipient. Utilization of personal health insurance. Insurance coverage of medical assistance recipients. Limitations.

Sec. 17b-265a. Physicians providing services to dually eligible Medicaid and Medicare clients. Rates.

Sec. 17b-265b. Reimbursement rates for pathologists.

Sec. 17b-265c. Medicaid and Medicare dually eligible pilot program.

Sec. 17b-265d. Definition of full benefit dually eligible Medicare Part D beneficiary. Prescription drug coverage under Medicare Part D. Copayment coverage. Enrollment in benchmark plan. Commissioner's enrollment authority.

Sec. 17b-265e. Medicare Part D Supplemental Needs Fund. Payment by department for nonformulary prescription drugs. Rebates required for pharmaceutical manufacturers. Contracts for supplemental rebates.

Sec. 17b-265f. Payment by the department for pharmacy claims. Limitations. Investigation of pharmacy.

Sec. 17b-265g. Health insurer. Duties owed to the state and Commissioner of Social Services.

Sec. 17b-266. (Formerly Sec. 17-134g). Purchase of insurance. Contracts for comprehensive health care on a prepayment or per capita basis. Certification of providers by commissioner. Payment of capitation claims. Deposit of funds for expenditures for children's health programs and services.

Sec. 17b-266a. Contract with pharmacy benefits management organization.

Sec. 17b-267. (Formerly Sec. 17-134h). Use of fiscal intermediaries in connection with medical assistance.

Sec. 17b-268. (Formerly Sec. 17-134i). Withdrawal of member of group providing services.

Sec. 17b-269. (Formerly Sec. 17-134j). Bonding of officers and employees.

Sec. 17b-270. (Formerly Sec. 17-134k). Liability of agency and its officers.

Sec. 17b-271. (Formerly Sec. 17-134l). Termination of agreement.

Sec. 17b-272. (Formerly Sec. 17-134m). Personal fund allowance.

Sec. 17b-273. (Formerly Sec. 17-134o). Payment rate for ambulance rides eligible under medical assistance program. Payment methodology for ambulance services.

Sec. 17b-274. (Formerly Sec. 17-134q). Periodic investigations of pharmacies by Division of Criminal Justice. Brand medically necessary. Procedure for prior approval to dispense brand name drug. Disclosure.

Sec. 17b-274a. Maximum allowable costs for generic prescription drugs. Implementation of maximum allowable cost list.

Sec. 17b-274b. Pharmaceutical purchasing initiative. Annual report.

Sec. 17b-274c. Voluntary mail order option for maintenance prescription drugs and drugs covered under the Medicare Part D program.

Sec. 17b-274d. Pharmaceutical and Therapeutics Committee. Membership. Duties. Preferred drug lists. Automatic refill recommendations. Supplemental rebates. Administrative hearings.

Sec. 17b-274e. Prescription drugs. Utilization of cost-efficient dosages.

Sec. 17b-274f. Step therapy program for Medicaid prescription drugs.

Sec. 17b-274g. Preferred drug list purchases. Prohibition on Medicaid cost sharing. Reporting, notice requirements for other Medicaid cost-sharing requirements.

Sec. 17b-274h. Auto refills of prescription drugs covered under Medicaid. Limitations. Legislative review process.

Sec. 17b-275. (Formerly Sec. 17-134r). Physician and pharmacy lock-in procedure.

Sec. 17b-276. (Formerly Sec. 17-134s). Competitive bidding process for nonemergency transportation services. Disclosure of payment source. Fee schedules.

Sec. 17b-276a. Amendment to Medicaid state plan to reduce expenditures for Medicaid nonemergency medical transportation. Limitations.

Sec. 17b-276b. Nonemergency medical transportation services. Prior authorization.

Sec. 17b-276c. Payment for medically necessary mode of transportation service.

Sec. 17b-277. (Formerly Sec. 17-134u). Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children.

Sec. 17b-277a. Program to inform applicants to the Healthy Start program of services provided by the Nurturing Families Network.

Sec. 17b-277b. Healthy Start program. Plan. Review.

Sec. 17b-278. (Formerly Sec. 17-134z). Home leave absences for certain medical assistance recipients.

Sec. 17b-278a. Coverage for treatment for smoking cessation.

Sec. 17b-278b. Medical assistance for breast and cervical cancer.

Sec. 17b-278c. Amendment to state Medicaid plan to provide mammogram examinations to certain women.

Sec. 17b-278d. Amendment to state Medicaid plan and state children's health insurance plan to provide neuropsychological testing for children diagnosed with cancer.

Sec. 17b-278e. Amendment to state Medicaid plan to exclude payment for hospital-acquired conditions.

Sec. 17b-278f. Amendment to state Medicaid plan to provide treatment for tuberculosis.

Sec. 17b-278g. Medical assistance for eyeglasses and contact lenses. Regulations.

Sec. 17b-278h. Medical assistance for chiropractic services. Regulations.

Sec. 17b-278i. Medical assistance for customized wheelchairs. Repairs. Refurbished equipment, parts and components. Regulations.

Sec. 17b-278j. Complex rehabilitation technology. Definitions. Report.

Sec. 17b-278k. Electronic transmission of prescriptions for durable medical equipment.

Sec. 17b-279. (Formerly Sec. 17-134aa). Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report.

Sec. 17b-280. (Formerly Sec. 17-134bb). Reimbursement rate for covered outpatient drugs under the Medicaid program.

Sec. 17b-280a. Payment for over-the-counter medications under medical assistance program. Exceptions.

Sec. 17b-280b. Proposed revisions to reimbursement methodology for covered outpatient drugs under the Medicaid program. Legislative review.

Sec. 17b-281. (Formerly Sec. 17-134cc). Payment of oxygen products and services under medical assistance program.

Sec. 17b-281a. Procedure for preauthorization of purchase or rental of durable medical equipment.

Sec. 17b-281b. Used durable medical equipment. Payments to vendors or suppliers.

Sec. 17b-281c. Authority of commissioner to modify medical equipment fee schedules.

Sec. 17b-282. (Formerly Sec. 17-134dd). Medical assistance for certain children and elderly and disabled persons.

Sec. 17b-282a. Coverage for in-patient dental services in certain instances involving children and developmentally disabled persons.

Sec. 17b-282b. Implementation of state-wide dental plan. Waiver.

Sec. 17b-282c. Nonemergency dental services. Regulations.

Sec. 17b-282d. Commissioner to modify nonemergency dental services. Regulations.

Sec. 17b-282e. Orthodontic services for Medicaid recipients under twenty-one years of age.

Sec. 17b-283. (Formerly Sec. 17-134ee). Medicaid home and community-based services waiver program for children and young adults with disabilities.

Sec. 17b-283a. Active duty armed forces member application for Medicaid home or community-based program on behalf of eligible spouse or child.

Sec. 17b-284. (Formerly Sec. 17-134ff). Medical assistance for certain employed persons.

Sec. 17b-285. (Formerly Sec. 17-134gg). Assignment of spousal support of an institutionalized person or person in need of institutional care.

Sec. 17b-286. Medicaid management information system. Reports.

Sec. 17b-287. (Formerly Sec. 17-292a). Assistance for person who needs hospitalization and is not a resident of any town.

Sec. 17b-288. Organ transplant account. Regulations.

Sec. 17b-289. Short title: HUSKY and HUSKY Plus Act. HUSKY Plan, Part A and HUSKY Plan, Part B participants.

Sec. 17b-290. Definitions.

Sec. 17b-291. Children's health insurance plan.

Sec. 17b-292. HUSKY B. Eligibility. Expedited eligibility under HUSKY B. Presumptive eligibility under Medicaid.

Sec. 17b-292a. Information for redetermination of eligibility under HUSKY Plan.

Sec. 17b-293. Minimum benefit coverage under HUSKY Plan, Part B.

Sec. 17b-294. HUSKY Plus programs.

Sec. 17b-294a. HUSKY Plus program. Administration. Eligibility. Regulations.

Sec. 17b-295. Cost-sharing requirements under HUSKY B.

Sec. 17b-296. Provision for clinicians in managed care plans. Provision by managed care organizations of services under HUSKY Plan.

Sec. 17b-297. Outreach programs for HUSKY Plan, Part A and Part B.

Sec. 17b-297a. Funds to promote enrollment of children eligible for other income-based assistance programs in HUSKY B.

Sec. 17b-297b. Procedures for sharing information in applications for school lunch program for purpose of determining eligibility under HUSKY Health program.

Sec. 17b-298. Regulations re quality of care under HUSKY Plan. Outcome criteria. Sanctions. Reports re HUSKY Plans to General Assembly.

Sec. 17b-299. Applications. Approval.

Sec. 17b-300. Notification of member's change of circumstance.

Sec. 17b-301. Recovery of payment for false statement, misrepresentation or concealment.

Secs. 17b-301ato17b-301p. Prohibited acts re medical assistance: Definitions. Prohibited acts re medical assistance; penalties. Attorney General's investigation of prohibited acts; civil action. Civil action by individual; consent for withdrawal; manner of service; complaint under seal; intervening in action by Attorney General. Prosecution by Attorney General; withdrawal; settlement; limits on individual's participation; division of proceeds; attorneys' fees and costs. Civil action by individual when Attorney General declines to proceed; procedure; division of proceeds; attorneys' fees and costs. Attorney General's pursuit of claim through alternate remedy. Civil action by individual who committed prohibited act re medical assistance; reduction of proceeds; dismissal from action. Court's jurisdiction over civil actions brought by certain individuals. State not liable for expenses. Discrimination in employment because of acts in furtherance of civil action prohibited; remedies; attorneys' fees and costs. Time for bringing civil action; state's intervention in action. Standard of proof in civil action. Effect of final judgment in criminal proceeding on civil action. Remedies not exclusive. Report re medical assistance civil actions.

Sec. 17b-302. Public involvement in design and implementation of HUSKY Plan, Part B. Submission of plan for public involvement to General Assembly.

Sec. 17b-303. Income disregard. Application for federal waiver.

Sec. 17b-304. Regulations.

Sec. 17b-305. [Reserved]

Sec. 17b-306. Plan for a system of preventive health services for children in the HUSKY Health program.

Sec. 17b-306a. Child health quality improvement program. Purpose and scope. Annual reports.

Sec. 17b-307. Primary care case management pilot program.

Secs. 17b-308to17b-310. [Reserved]

Sec. 17b-311. Charter Oak Health Plan.

Secs. 17b-312to17b-319. [Reserved]