11 | 23 | | |
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12 | 24 | | AN ACT CONCERNING ADDING THE PACE PROGRAM TO THE MEDICAID STATE PLAN. |
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13 | 25 | | |
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14 | 26 | | Be it enacted by the Senate and House of Representatives in General Assembly convened: |
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15 | 27 | | |
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16 | 28 | | Section 1. Section 17b-428 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2013): |
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17 | 29 | | |
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18 | 30 | | (a) As used in this section: |
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19 | 31 | | |
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20 | 32 | | (1) "Commissioner" means the Commissioner of Social Services; |
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21 | 33 | | |
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22 | 34 | | (2) "Eligible individual" means "PACE program eligible individual", as defined in Subtitle I of Public Law 105-33, as amended from time to time, or in a [waiver application] Medicaid state plan amendment approved by the United States Department of Health and Human Services; |
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23 | 35 | | |
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24 | 36 | | (3) "PACE program" means "PACE program", as defined in Subtitle I of Public Law 105-33, as amended from time to time, and includes a program of all-inclusive care for the elderly; |
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25 | 37 | | |
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33 | 45 | | |
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34 | 46 | | (b) Not later than [July 1, 1998] September 30, 2013, the commissioner shall [establish a pilot program in which PACE providers deliver] submit a Medicaid state plan amendment to add PACE program services to [eligible individuals in this state pursuant to a PACE program agreement. Under said program, the commissioner, in consultation with the Insurance Commissioner, may initially enter into contracts with integrated service networks which have successfully completed a feasibility study, in conjunction with a PACE technical assistance center, for the provision of PACE program services] the Medicaid state plan. |
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35 | 47 | | |
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36 | 48 | | (c) The Department of Social Services shall be the state administering agency for the state of Connecticut responsible for administering PACE program [agreements in this state. The department, upon request, shall assist the secretary in establishing procedures for entering into, extending and terminating PACE program agreements for the operation of PACE programs by PACE providers in this state] services. The department shall establish participation criteria for eligible individuals and PACE providers. |
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37 | 49 | | |
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38 | 50 | | [(d) The commissioner shall provide medical assistance under this section for PACE program services to eligible individuals who are eligible for medical assistance in this state and enrolled in a PACE program under a PACE program agreement. The commissioner shall seek any waiver from federal law necessary to permit federal participation for Medicaid expenditures for PACE programs in this state.] |
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39 | 51 | | |
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40 | 52 | | [(e)] (d) [The commissioner may adopt regulations in accordance with chapter 54 to implement the provisions of this section.] The commissioner, pursuant to section 17b-10, may implement policies and procedures to administer the provisions of this section while in the process of adopting such policies and procedures as regulations, provided the commissioner prints notice of the intent to adopt the regulations in the Connecticut Law Journal not later than twenty days after the date of implementation. Such policies and procedures shall be valid until the time final regulations are adopted. |
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41 | 53 | | |
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42 | 54 | | Sec. 2. Section 17b-28c of the general statutes is repealed. (Effective July 1, 2014) |
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43 | 55 | | |
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44 | 56 | | |
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45 | 57 | | |
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46 | 58 | | |
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47 | 59 | | This act shall take effect as follows and shall amend the following sections: |
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48 | 60 | | Section 1 July 1, 2013 17b-428 |
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49 | 61 | | Sec. 2 July 1, 2014 Repealer section |
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50 | 62 | | |
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51 | 63 | | This act shall take effect as follows and shall amend the following sections: |
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52 | 64 | | |
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53 | 65 | | Section 1 |
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54 | 66 | | |
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55 | 67 | | July 1, 2013 |
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56 | 68 | | |
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57 | 69 | | 17b-428 |
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58 | 70 | | |
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59 | 71 | | Sec. 2 |
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60 | 72 | | |
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61 | 73 | | July 1, 2014 |
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62 | 74 | | |
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63 | 75 | | Repealer section |
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64 | 76 | | |
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