Sec. 17b-277. (Formerly Sec. 17-134u). Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. State plan amendment or waiver under federal law. Biannual
Sec. 17b-277. (Formerly Sec. 17-134u). Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. State
plan amendment or waiver under federal law. Biannual reports. (a) The Commissioner of Social Services shall provide, in accordance with federal law and regulations,
medical assistance under the Medicaid program to needy pregnant women whose families have an income not exceeding two hundred fifty per cent of the federal poverty level.
(b) The commissioner shall implement presumptive eligibility for appropriate pregnant women applicants for the Medicaid program in accordance with Section 1920 of
the Social Security Act. The commissioner shall designate qualified entities to receive
and determine presumptive eligibility under this section consistent with the provisions
of federal law and regulations.
(c) On or before September 30, 2007, the Commissioner of Social Services, shall
submit a state plan amendment or, if required by the federal government, seek a waiver
under federal law to provide health insurance coverage to pregnant women, who do not
otherwise have creditable coverage, as defined in 42 USC 300gg(c), and who have
income above one hundred eighty-five per cent of the federal poverty level but not in
excess of two hundred fifty per cent of the federal poverty level. Following approval
of such state plan amendment or approval of such waiver application, the commissioner,
on or before January 1, 2008, shall implement the provisions of subsections (a) and (b)
of this section.
(d) Presumptive eligibility for medical assistance shall be implemented for any uninsured newborn child born in a hospital in this state or a border state hospital, provided
(1) the parent or caretaker relative of such child resides in this state, and (2) the parent
or caretaker relative of such child authorizes enrollment in the program.
(e) The commissioner shall submit biannual reports to the council, established pursuant to section 17b-28, on the department's compliance with the administrative processing requirements set forth in subsection (b) of this section.
(P.A. 88-217, S. 1, 2; P.A. 90-134, S. 4, 28; P.A. 93-262, S. 1, 87; June 18 Sp. Sess. P.A. 97-2, S. 72, 165; P.A. 05-280, S. 8; P.A. 07-185, S. 4; June Sp. Sess. P.A. 07-2, S. 9; P.A. 08-68, S. 1.)
History: P.A. 90-134 added Subsec. (b) re presumptive eligibility; P.A. 93-262 authorized substitution of commissioner
and department of social services for commissioner and department of income maintenance, effective July 1, 1993; Sec.
17-134u transferred to Sec. 17b-277 in 1995; June 18 Sp. Sess. P.A. 97-2 made technical changes, effective July 1, 1997;
P.A. 05-280 amended Subsec. (b) by replacing provisions re presumptive eligibility for pregnant women with respect to
Medicaid program with provisions re expedited eligibility and requiring that emergency applications be processed no later
than 24 hours after receipt of all required information and that nonemergency applications be processed no later than five
calendar days after the date of receipt of all required information, and added new Subsec. (c) requiring commissioner to
submit biannual reports to Medicaid managed care council, effective July 1, 2005; P.A. 07-185 amended Subsec. (a) by
deleting "children up to one year of age" and replacing up to 185% with not exceeding 250% re federal poverty level,
added new Subsec. (c) re presumptive Medicaid eligibility for an uninsured newborn born at an in-state hospital or border
state hospital, and redesignated existing Subsec. (c) as Subsec. (d), effective July 1, 2007; June Sp. Sess. P.A. 07-2 added
new Subsec. (c) re state plan amendment or waiver from federal law to extend health insurance coverage to pregnant
women with income that exceeds 185% of federal poverty level but is not in excess of 250% of federal poverty level, and
redesignated existing Subsecs. (c) and (d) as Subsecs. (d) and (e), effective July 1, 2007; P.A. 08-68 amended Subsec. (b)
to replace expedited eligibility process for pregnant women with presumptive eligibility process under Section 1920 of
Social Security Act, effective January 1, 2008.
Cited as "17b-260 et seq. (providing for supplemental medical assistance)". 233 C. 557.