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On April 1, 2022, Connecticut submitted a section 1115 new demonstration application entitled “Covered Connecticut.” The application requests section 1115(a)(2) expenditure authority to provide premium assistance to certain eligible individuals who enroll in a silver-level qualifying health plan (QHP) on the state’s health insurance marketplace, Access Health CT. The demonstration would also provide dental services and non-emergency medical transportation (NEMT) services comparable to the benefits under Connecticut Medicaid and provided through the state’s Medicaid delivery and payment system, HUSKY Health. These demonstration benefits would be available to individuals who are parents or caretaker relatives and their tax dependents under age 26 as well as non-pregnant childless adults aged 19 to 64 who have income that is above the Medicaid limit but does not exceed 175 percent of the federal poverty level (FPL). The state’s goal is to expand health insurance coverage to these low-income individuals in order to advance health equity and close the health insurance affordability gap. This demonstration does not seek to change the delivery system of services. There would be no beneficiary cost-sharing requirements for benefits that would be provided under this proposed demonstration. The federal public comment period will be open from April 14, 2022 to May 13, 2022.
Pending Application
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