Medicaid is a United States health care program aimed towards assisting low-income families. Requirements to participate in the Medicaid program vary in different states. Medicaid in Connecticut assists in issues such as pregnancy, some cancers, uninsured children and health coverage for refugees. However, different types of insurance covers in this package have particular requirements that potential participants must meet. Just like any other state/federal funded programs, most Connecticut Medicaid plans have income restrictions in regards to the federal poverty level (FPL).

Connecticut Medicaid program is a state/federal health insurance plan solely administered by the Connecticut Department of Social Services (DSS). This program is currently known as HUSKY C and HUSKY D under the new HUSKY Health Plan which was implemented in January 2012. HUSKY C formerly referred to as Title 19 program provides medical and long term health care for low income elderly Connecticut residents aged 65 and above. Individuals with special needs and families with dependent children aged 18 to 64 who do not qualify for Supplemental Security Income also qualify. HUSKY D formerly known as Medicaid for Low Income Adults (MLIA) covers low income Connecticut residents aged between 19 and 64 who do not have dependent children and are not disabled.

According to the U.S. Department of Health and Human Service, medical coverage for women diagnosed with breast and cervical cancers is required by law. Connecticut's Medicaid provides assistance to patients diagnosed with breast and cervical cancer as long as they are Connecticut residents and U.S. citizens or qualified aliens. It is not mandatory for such applicants to have a primary insurance that covers necessary treatments or be eligible for other Medicaid benefits. There are no income or asset limits for women diagnosed with breast or cervical cancers. However, women will be required to be screened by the Center for Disease Control and Prevention's National Breast Cancer Early Detection Program.

Medicaid as a whole covers both custodial and skilled long-term services and supports in an individual's residential and institutional settings. The funding contains no time limits on health care for eligible individuals. The program is meant for Connecticut residents without sufficient income and assets to pay for their own treatment. However, people earning an income well over the Federal Poverty Level also qualify if they have exceptionally high medical bills. Connecticut Department of Social Services (DSS) submits payment for services offered directly to the health care provider. Providers are required by DSS to accept this amount as payment in full.

Health and Medical Services Typically Covered

• Hospital services both inpatients and outpatients
• Skilled 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

Eligibility Requirements

In order to qualify for benefits covered in this program, you must be:

• A beneficiary of Temporary Family Assistance (TFA).
• A beneficiary of State Supplement for the Aged, Blind or Disabled (State Supplement).
• A parent or a caretaker relative with income at or below 185% Federal Poverty Level.
• A child under 19 years old.
• A Teenager aged 19 and 20 with very low income
• Pregnant with an income under 250% Federal Poverty Level
• Employed and disabled earning more than the traditional income limits
• Severely disabled individual and can be cared for at home and are eligible for Medicaid if the legally liable relative's income is not counted when determining eligibility
• A refugee - Refugees receives benefits equivalent to Medicaid for 8 months
• A Single adult with income at or below $614 per month living in Southwestern Connecticut or $505 per month living outside southwestern Connecticut.

Income guidelines for Husky C:

Household Type	Monthly	Yearly	Twice-Monthly	Bi-Weekly	Weekly
Single Person	$700*	$8,400*	$350*	$323.08*	$161.54*
Married Couple	$946*	$11,352*	$473*	$436.92*	$218.46*
Medicaid for Employees with Disabilities	$6,250*	$75,000*	$3,125*	$2,884.62*	$1,442.31*
Institutionalized Individuals	$2,829*	$33,948*	$1,415*	$1,304.15*	$652.08*

Income guidelines for Husky D:

Household Members	Annual Income	Monthly	Twice-Monthly	Bi-Weekly	Weekly
1	$20,120	$1,676.67	$838.33	$772.31	$386.15
2	$27,214	$2,267.83	$1,133.92	$1,044.00	$522.00
3	$34,307	$2,858.92	$1,429.46	$1,315.69	$657.85
4	$41,400	$3,450.00	$1,725.00	$1,587.38	$793.69
5	$48,493	$4,041.08	$2,020.54	$1,859.08	$929.54
6	$55,586	$4,632.17	$2,316.08	$2,130.77	$1,065.38

Pregnant women and individuals with urgent medical conditions are not required to prove their immigration status.

Visit the DSS website to find out the region you live in.

MEDICAID (Husky C & Husky D) Application Instructions

Print and Mail an Application

Fill in a HUSKY application form which can be downloaded from the DSS website or visit the nearest regional DSS office to apply during normal office hours. County/tribal officers or social service agency representative may assist you if you have a disability or have trouble filling out the form. To find the agency that handles HUSKY applications in your county, click here. Applications are usually processed within 45 to 60 days.

Telephone Application / Appointment

Call HUSKY Info line at 1-877-CT-HUSKY and set an appointment. You may also find your local agency's number from the DSS website and call them directly for an appointment.

You'll find out if you qualify for Medicaid within 45 to 60 days after submitting your application. If for any reason your application is denied, you will receive a notification explaining why. You may appeal through a fair hearing. If your assets, income or living situation changes, a social worker must be notified immediately. The DSS office likely to verify the information you submit through your employers or landlords or computer matches with banks, department of labor, motor vehicle department, social security administration and the internal revenue service. If you receive Medicaid when you are 55 years old or older, after your death, the state usually pursues reimbursement from your estate for the assistance you received.

Appeal Process

If coverage is denied you may 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. Contact a local Legal Services office through the Statewide Legal Services program for assistance in preparing for the Fair Hearing.