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Council on Medical Assistance Program Oversight Husky Health

About the Council

The Council on Medical Assistance Program was established under CGS 17b-28 as a collaborative body consisting of legislators, Medicaid consumers, advocates, health care providers, insurers and state agencies to advise DSS on the development of Connecticut's Medicaid Managed Care program and for legislative and public input to monitor the implementation of the program.

Due to the large volume of work the Council addresses, committees have been established – Complex Care, Consumer Access, Quality Improvement, Women's Health, and Care Management.

The full Council and each committee meet once a month. The Council holds public hearings, issues surveys and holds provider forums to assess the impact of Medicaid Managed Care.


Announcements

Information for DSS service partners about the HUSKY Health eligibility redetermination process: •The Department of Social Services is resuming annual benefit redeterminations in the Medicaid/HUSKY A and D programs, beginning with those due for completion by September 30, 2014. (You may recall that the department previously extended redetermination periods for most enrollees, in part to support transition under the Affordable Care Act. Now, we are resuming the redetermination schedule.) •As background, the Affordable Care Act has made changes in the process of how eligibility is determined in Medicaid for HUSKY A- and D-eligible households. •The new process is based on tax filing status, who lives in the household and household income. This is the so-called MAGI (modified adjusted gross income) process. •Clients are being sent a new form (labeled ‘AH3’) to use in completing their redetermination. Clients are receiving information on how to complete the redetermination. •We have various options for clients to use in completing their redeterminations: Online option -- we have linked our HUSKY A and D redetermination process in ConneCT with Access Health CT. To complete the process online, clients can go to ConneCT, www.connect.ct.gov; then click on the link at ‘Renewing Your HUSKY Health Coverage’; then click on ‘Get Health Coverage’ at the Access Health CT site, and go through the process. Phone option -- clients can choose to complete the redetermination over the phone by calling Access Health CT at 1-855-805-4325. Mail option -- clients can also complete the ‘AH3’ form they receive in the mail, and return it using the envelope provided. [We do not recommend that people go to the DSS field offices because we may not be able to fully process the redetermination form there.] •A similar process is in place for enrollees in HUSKY B (non-Medicaid) Children’s Health Insurance Program. •The new process does not apply to clients in HUSKY C (Medicaid for the aged/blind/disabled) and the Medicare Savings Programs. Thank you for your help in advising HUSKY Health clients about the redetermination process. CT Department of Social Services To: Underservice working group, MAPOC Complex Care committee We are at the point of collecting and drafting recommendations. Please send your ideas. They do not need to be fully developed. We are planning an online meeting for June 11th at 2 pm – details for joining the meeting are below. On the meeting we will discuss, edit and come to consensus on a set of recommendations. We are planning another in-person meeting at the end of June to finalize them. And then we are done. So please send your thoughts/ideas/concerns. You can reply to this email or send them to Olivia at olivia.puckett@cga.ct.gov. CC Committee Under service workgroup meeting 1. Please join my meeting. https://global.gotomeeting.com/meeting/join/554190485 2. Use your microphone and speakers (VoIP) - a headset is recommended. 3. Or, call in using your telephone. United States: +1 (619) 550-0008 Access Code: 554-190-485 Audio PIN: Shown after joining the meeting Meeting ID:554-190-485 Thanks so much to those of you who could make the first meeting yesterday of the MAPOC Complex Care Committee underservice workgroup. If you missed it and would like an update, feel free to contact either of the chairs. As promised, your first homework assignment is to complete the survey on underservice at: https://www.surveymonkey.com/s/J7SY762 and please send it to friends and colleagues. Dont worry about being comprehensive or citing references,it is meant to be a collective brainstorming session on where we should start looking for potential underservice. More homework will be coming soon. Thanks very much for your interest in underservice and for working with us to ensure people get, the right care, to the right patient, at the right time. (Don Berwick) Ellen Andrews and Claudio Gualtieri Co-Chairs The Complex Care Committee Underservice Workgroup will hold a committee meeting on Tuesday, March 25, 2014 at 10:30 A.M. in Room 1C of the LOB. The 2014 Regular Legislative Session convenes February 5th and will adjourn May 7th.

All Meetings are as scheduled unless the Legislative Office Building closes.


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