Council on Medical Assistance Program Oversight
Legislative
Office Building Room 3000,
(860)
240-0321 Info Line (860)
240-8329 FAX (860) 240-0023
www.cga.state.ct.us/ph/medicaid
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.