Medicaid is the state administered health insurance program that provides coverage for low income families and adults.

The federal government provides reimbursement to the states for monies expended under the Medicaid program, and reimbursement may consist of up to seventy-five percent (or more) of the costs incurred by the state. The federal government agency responsible for Medicaid Services is the Department of Health and Human Services (HHS), through the Center for Medicare and Medicaid Services (CMS).

HHS Publication: Medicaid at a Glance

Connecticut Medicaid Information

The Medicaid program in Connecticut is administered by the state Department of Social Services

Children under the age of nineteen (19) are eligible to receive Medicaid benefits through healthcare coverage provided by the state's HUSKY program. HUSKY, which stands for Healthcare for Uninsured Kids and Youth, is available to children and youth nineteen and under whose family income does not exceed 185% of the federal poverty level (see chart below). These children qualify for coverage under the HUSKY A program.

Children whose family income exceeds 185% of the federal poverty level may be eligible for subsidized coverage under the state's HUSKY B program. Children with special needs enrolled in the HUSKY B program may also be eligible for supplemental coverage under the HUSKY B Plus program.

In addition, parents or guardians of HUSKY eligible children may receive healthcare coverage under the HUSKY A program if the family's income does not exceed 185% of the federal poverty level.

Family of 2 Family of 3 Family of 4 Family of 5 Family of 6 Husky Plan Features
           
under $26,954 under $33,873 under $40,792 under $47,711 under $54,630 Free health care for children under 19; their parents or a caregiver relative like a grandparent who lives with the children [HUSKY A]
           
under $36,425 under $45,775 under $55,125 under $64,475 under $73,825 Free health care for pregnant women. (note: for eligibility of pregnant women, unborn child is also counted as a family member). [HUSKY A]
           
from $26,954 to $34,239 from $33,873 to $43,028 from $40,792 to $51,817 from $47,711 to $60,606 from $54,630 to $69,395 Health care for children under 19; some co-payments. Eligible for HUSKY Plus Physical. [HUSKY B]
           
from $34,239 to $43,710 from $43,028 to $54,930 from $51,817 to $66,150 from $60,606 to $77,370 from $69,395 to $88,590 Health care for children under 19; monthly premium of $30 for first child; maximum monthly premium of $50, regardless of number of children; some co-payments. Eligible for HUSKY Plus Physical. [HUSKY B]

Information regarding eligibility for HUSKY, the benefit packages available, and application information is available at the HUSKY Healthcare website or 1-877-CT-HUSKY (1-877-284-8759).

 

Behavioral Health Services

Behavioral Health Services for children enrolled in the HUSKY A plan are provided through the Connecticut Behavioral Health Partnership.

The Department of Children and Families (DCF) and the Department of Social Services (DSS) have formed the Connecticut Behavioral Health Partnership (CT BHP) to plan and implement an integrated public behavioral health service system for children and families.

The primary goal of the CT BHP is to provide enhanced access to and coordination of a more complete and effective system of community-based behavioral health services and supports and to improve member outcomes. Secondary goals include better management of state resources and increased federal financial participation in the funding of behavioral health services.

Connecticut State Medicaid Plan Model Application

 

Connecticut Medicaid/Healthcare Access Resources

Connecticut Medicaid Managed Care Council

The Medicaid Managed Care Council was established under Conn. Gen. Stat. § 17b-28 as a collaborative body consisting of legislators, Medicaid consumers, advocates, health care providers, insurers and state agencies to advise the Department of Social Services (DSS) on the development and implementation of Connecticut's Medicaid (HUSKY Part A) and SCHIP (HUSKY Part B) Managed Care program and for ongoing legislative and public input in the monitoring of the program.

Connecticut Health Policy Project

The Connecticut Health Policy Project is a non-profit, non-partisan research and educational organization dedicated to improving access to affordable, quality health care for all Connecticut residents. The Connecticut Health Policy Project believes that empowered, informed consumers are the best engine to improve Connecticut's health care system for all.

 

Federal Medicaid Resources

United States Department of Health and Human Services - Center for Medicare and Medicaid Services (CMS)