Council on Medical Assistance Program Oversight

The Council on Medical Assistance Program Oversight previously called the Medicaid Medical Assistance Program Oversight Council, Medicaid Managed Care Council and then the Connecticut Medicaid Care Management Oversight Council, is a collaborative body established by the General Assembly in 1994 to initially advise the Department of Social Services (DSS) on the development and implementation of Connecticut’s Medicaid Managed Care Program (HUSKY A), in 1998 the State Children’s Health Insurance Program (SCHIP)- HUSKY B and in 2006 the managed care portion of the state funded State General Assistance (SAGA) program that in July 2009 became the new Medicaid expansion group called the Medicaid low income adults (MLIA) program and the state subsidized Charter Oak Health Program (uninsured adults 19-64).

Legislation in 2011 revised 17b-28 to include Council oversight of the Medicaid HUSKY Health Program that encompasses all Medicaid enrollees’ health care. The statue charges the Council with monitoring and advising DSS on matters including, but not limited to, program planning and implementation of the new delivery system under the Administrative Service Organization (ASO), transitional issues from managed care to this model, eligibility standards, benefits, health care access and quality measures. In addition the Council advises DSS on the development and implementation of the provider-level Person -Centered Medical Home model. The Council consists of legislators, consumers, advocates, health care providers, representatives of managed care plans (through 12-31-11), the medical ASO and state agencies. The Council has five Committees: Consumer Access, Quality, Care Management/ PCMH, Women’s Health and Complex Care Committee.