OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sSB-913
AN ACT REQUIRING FAIRNESS FOR FAMILIES IN MEDICAID
ELIGIBILITY AND REIMBURSEMENT DETERMINATIONS.
Primary Analyst: ES 3/23/21
Contributing Analyst(s): LD
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 22 $ FY 23 $
Social Services, Dept. GF - Potential
Cost
See Below See Below
Note: GF=General Fund
Municipal Impact: None
Explanation
The bill could result in a cost to the Department of Social Services
(DSS) associated with making retroactive Medicaid payments for
enrollees in the Connecticut Home Care Program for Elders (CHCPE),
for up to three months prior to applying for Medicaid.
For context, the average monthly gross cost per enrollee is $2,800.
Making retroactive payments for the three months prior to applying
for Medicaid results in a state Medicaid cost of $4,200 per client. This
assumes the approval for such payments by the Centers for Medicare
and Medicaid Services (CMS).
The bill makes other changes that could enable certain individuals
to achieve Medicaid eligibility sooner to the extent they would
otherwise be considered ineligible based solely on the discovery of
certain assets. The actual cost to the state will depend on the number of
applicable individuals and the disposition of certain assets. 2021SB-00913-R000131-FN.DOCX Page 2 of 2
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to the number of eligible individuals,
associated cost of care, and the disposition of certain assets.
Sources: Department of Social Services Caseload and Utilization Information