Connecticut General Statutes
Chapter 319v - Medical Assistance
Section 17b-277. (Formerly Sec. 17-134u). - Medicaid for pregnant women. Presumptive Medicaid eligibility for pregnant women and newborn children. Postpartum care.

(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-eight 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) 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.
(d) On or after April 1, 2022, the commissioner shall extend Medicaid coverage for postpartum care for twelve months after birth to a woman otherwise eligible for Medicaid, to the extent permissible under federal law. The commissioner shall amend the Medicaid state plan in accordance with the American Rescue Plan Act of 2021 to provide federal reimbursement to the state for extending postpartum care and shall implement the extension of Medicaid coverage for such care following federal approval. The commissioner shall take any other action necessary under federal law to maintain federal reimbursement for such postpartum coverage.
(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; P.A. 09-8, S. 7; P.A. 10-179, S. 73; June Sp. Sess. P.A. 15-5, S. 372; June Sp. Sess. P.A. 21-2, S. 335.)
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; P.A. 09-8 made a technical change in Subsec. (c); P.A. 10-179 deleted former Subsec. (e) re biannual reports, effective July 1, 2010; June Sp. Sess. P.A. 15-5 amended Subsec. (a) to increase income eligibility from 250 per cent to 258 per cent of federal poverty level, deleted former Subsec. (c) re submission of state plan amendment, and redesignated existing Subsec. (d) as Subsec. (c), effective July 1, 2015; June Sp. Sess. P.A. 21-2 added Subsec. (d) re extension of postpartum care, effective June 23, 2021.

Structure Connecticut General Statutes