MEDICAID: HUSKY C (MEDICAID FOR THE AGED, BLIND AND DISABLED)/
HUSKY D (MEDICAID FOR LOW INCOME ADULTS (LIA))

PROGRAM DESCRIPTION

Connecticut's Medicaid program (now called HUSKY C and HUSKY D under the HUSKY Health Plan, implemented as of January 1, 2012, http://www.huskyhealth.com/hh/site/default.asp) is a state/federal health insurance plan administered by the Connecticut Department of Social Services (DSS) http://www.ct.gov/dss/lib/dss/pdfs/medicaidservicesv3kk.pdf.  The HUSKY C program provides medical and long term care for low income elderly residents, ages 65 or older, or  disabled individuals and families with dependent children, ages 18 through 64, who do not receive Supplemental Security Income. The  HUSKY D (formerly Medicaid for Low Income Adults (LIA)) covers Connecticut residents, ages 19 through 64, who do not have dependent children, who are not pregnant, who are not disabled, who do not qualify for HUSKY A, and who do not receive SSI or Medicare. Payments for Medicaid services are made according to DSS's stated reimbursement schedules, and providers are required to accept this amount as payment in full.

SERVICES COVERED

HUSKY C, formerly Medicaid, provides coverage for many health services and medical needs. Covered services include:

• inpatient and outpatient hospital services
• physician care
• nursing facility care
• home health care
• family planning
• lab and X-ray services
• pediatric and family nurse practitioners
• community health clinics
• nurse midwives
• screening, diagnosis and treatment of childhood diseases or impairments (EPSDT)
• prescriptions
• hospice care
• adult dental services
• medical supplies
• rehabilitation services
• medical transportation
• behavioral health services
• substance abuse treatment
• vision care

WHO IS ELIGIBLE?

• recipients of Temporary Family Assistance (TFA)
• recipients of State Supplement for the Aged, Blind or Disabled (State Supplement)
• parents or caretaker relatives with income at or below 185% FPL and whose child is covered under HUSKY A
• children under age 19 with income below 185% FPL (HUSKY A)
• children ages 19 and 20 ("Ribicoff Children") with very low income
• pregnant women with income under 250% FPL
• people with income over the limit who have exceptionally high medical bills can become eligible by spending down their income and assets to DSS's Medically Needy Income Limit (MNIL) (Medical Expense Spend Down Policy)
• employed persons who are disabled and earning more than the traditional income limits - Medicaid for the Employed Disabled (MED)
• severely disabled individuals who can be cared for at home and who would be eligible for Medicaid if the legally liable relative's income is not counted when determining eligibility (Katie Beckett Waiver)
• refugees (receive benefits that are the same as Medicaid for 8 months)
• single adults with income at or below $617.44/month living in southwestern Connecticut or $508.48/month living outside southwestern Connecticut (HUSKY D, formerly Medicaid LIA)

WHERE DO PEOPLE APPLY?

Call the HUSKY Infoline at 1-877-CT-HUSKY or call or visit the nearest regional DSS office to apply. Applications can be downloaded from the DSS website - http://www.ct.gov/dss/lib/dss/pdfs/w-1e.pdf. Applications are usually processed within 45 to 60 days.

HOW TO FIND HEALTH CARE PROVIDERS WHO ACCEPT MEDICAID

APPEAL PROCESS

To request an appeal if coverage is denied, write to the DSS Office of Administrative Hearings and Appeals in Hartford to request a Fair Hearing within 60 days of the notice of denial. For information or assistance in preparing for the Fair Hearing, contact a local Legal Services office through the Statewide Legal Services program.

TO FIND PROVIDERS IN CONNECTICUT'S COMMUNITY RESOURCES DATABASE
Search by service name: Medicaid

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SOURCES:  Connecticut Department of Social Services
PREPARED BY: 211/rj
CONTENT LAST REVIEWED: January2013