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CT Voices for Children: New HUSKY Policies, Charter Oak Health RFP |
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1/10/2008, 11:32 pm | Email
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Eligibility Increases for Pregnant Women
Effective January 1, 2008, income guidelines for pregnant women in HUSKY A increased from 185% to 250% of the federal poverty level (FPL). This is $51,625 for a family of four. The change was made as a result of state legislation passed last year.
HUSKY B Newborns - Waiver of Premiums
Effective January 1, 2008, families that enroll uninsured newborns in HUSKY B will not have to pay premiums for the first four months in order to help reduce the number of uninsured babies that leave the hospital. DSS and birthing hospitals are working together to implement this new rule. (Note: HUSKY B is divided into three income bands. The first income band already pays no premiums. That means that this new rule applies to bands 2 and 3 only - families with income above 235% of the federal poverty level.)
HUSKY/Charter Oak RFP Released
The Department of Social Services recently released a Request for Proposals for “Managed Care Plans to perform managed care for its clients eligible for the Department’s HUSKY and Charter Oak program,” effective July 1, 2008. Potential bidders must submit a non-binding letter of intent by Thursday January 31, 2008. The RFP includes descriptions of the functions and duties of the successful bidders. Behavioral health, pharmacy benefits, and dental services will not be managed by the managed care plans. HUSKY behavioral health services are separately administered by the CTBHP; HUSKY pharmacy benefits will be administered by DSS effective January 25, 2008; and HUSKY dental services will also be administered by a separate entity some time after July 1, 2008. The combined RFP envisions a new Charter Oak program authorized by recent legislation to cover uninsured adults not eligible for other public programs. Bidders are required to fashion a commercial product that meets the requirements set forth in the RFP. DSS will subsidize the premiums for lower income individuals up to 300% of the FPL or $ 30,630 per year for an individual. There are other out-of-pocket costs (with caps), and limits on coverage. Read more about the RFP.Read the RFP proposal here. [PDF Link]
Tags: LEGISLATION
