NOTICE:

Learn about potential changes to DSS benefits due to the federal budget reconciliation bill (H.R.1) in our article, What will change with DSS benefits following the passing of federal H.R.1?

Summer EBT benefits have arrived. Please visit our page on Summer EBT benefits in Connecticut for more information.

For Providers

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  • 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).

  • 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.

  • PCA CERTIFICATION TEST

  • DSS_PCACertificationTest_SPAN

  • CT Medical Assistance Program

    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.

  • CT Pharmacy Services

    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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