About the Council
Council on Medical Assistance Program Oversight
The Council on Medical Assistance Program Oversight, referred to as the Medical Assistance Program Oversight Council (MAPOC), biannually reports to the General Assembly as required under CGS 17b-28 subsec. (i). The Medical Assistance Program Oversight Council (previously called the Medicaid Managed Care 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).
Legislation in 2011 revised 17b-28 to include Council oversight of the Medicaid HUSKY Health Program that encompasses all Medicaid enrollees’ health care. The statute 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 Administrative Service Organizations (ASOs), transitional issues from managed care, eligibility standards, benefits, health care access and quality measures.
The Council consists of legislators, consumers, advocates, health care providers, administrative service organization representatives and state agency/commission personnel as defined in statute. An updated membership list can be found at: https://www.cga.ct.gov/med/about-members.asp.
The Council has several sub-committees to give attention to the wide facets of Medical Assistance. They include the Consumer Access, Care Management, Women’s Health, Quality Improvement and Complex Care Committees. Sub-committees are comprised of members of MAPOC and ex-officio persons, whose knowledge and expertise provide advisement to the particular subject matter of Medical Assistance. Depending on the needs of the Council subcommittees meet monthly, bimonthly and Ad-Hoc.
In 2014 the standing subcommittee on Cost Savings was established, under CGS 17b-28 subsec. (h), to make annual recommendations to the Council on evidence-based best practices concerning Medicaid cost savings. Membership of this standing subcommittee is defined in Statute. In 2016 a standing subcommittee was established under CGS 17b-28 subsec. (k), to make recommendations to the Council on children and adults with complex health care needs. This subcommittee is required to report on the efficacy of support systems for children and young adults with developmental disabilities in accordance with Sec. 11-4a.
Records of the Council and sub-committee meetings are kept on file in the Public Health Joint Standing Committee of the Connecticut General Assembly and are all available on the MAPOC website at www.cga.ct.gov/med/. Information about the Council, updates, additional documents and useful links can also be found on the webpage.
About Connecticut Medicaid
In Connecticut, HUSKY Health encompasses Medicaid and the Children’s Health Insurance Program (CHIP), offering health care coverage to eligible children, parents, relative caregivers, elders, individuals with disabilities, adults without dependent children, and pregnant women. As administering agency, the Department of Social Services (DSS) partners with Access Health CT (AHCT), Connecticut’s health insurance marketplace, in HUSKY Health enrollment. DSS also partners with its contracted administrative services organizations (ASOs) and enrolled providers to coordinate medical, dental, pharmacy, behavioral health and other benefits.
- Connecticut Medicaid 101 .pdf
- HUSKY Health Overview - Informational Hearing for the Human Services, Appropriations, Public Health and Aging Committees .pdf
- Medicaid Integration and Care Coordination Infographic .pdf
- Developmental Disabilities- DCF Presentation; November 18, 2016.pdf
- Overview of BHPOC Presentation; November 18, 2016.pdf
- PCMH Plus Public Notice and Draft SPA Pages; November 2016.pdf
- PCMH Update; November 16, 2016 .pdf
PCMH + (MQISSP):
Person Centered Medical Home Plus (formally known as the Medicaid Quality Improvement and Shared Savings Program)
The Connecticut Department of Social Services (Department) is launching a planning process to develop a new, upside-only shared savings initiative entitled the Medicaid Quality Improvement and Shared Savings Program (MQISSP). The goal of MQISSP, which is a component of the State Innovation Model, is to improve quality and experience of care for Medicaid beneficiaries currently being served by Federally Qualified Health Centers (FQHCs) and Advanced Networks. The Department will select FQHCs and Advanced Networks to become MQISSP Participating Entities via a Request for Proposals process.
- (MQISSP Elements September 9, 2015).pdf
- A Brief Primer on the Medicaid Quality Improvement and Shared Savings Program; April 15, 2015.pdf
- A Brief Primer on the Medicaid Quality Improvement and Shared Savings Program; June 12, 2015.pdf
- A Brief Primer on the Medicaid Quality Improvement and Shared Savings Program; May 13, 2015.pdf
- Assignment Scenarios; March 16, 2016.pdf
- Attributed Members for the Medicaid Quality Improvement and Shared Savings Program; June 10, 2015.pdf
- Benefits in the Shared Savings Calculation for the MQISSP Checklist; July 8, 2015.pdf
- Benefits in the Shared Savings Calculation for the MQISSP; July 8, 2015..pdf
- Communication Plan for Discussion; December 8, 2015.pdf
- Communication Plan Material Development Draft; January 13, 2016.pdf
- Concept Paper for CMS - DRAFT; December 3, 2015.pdf
- Concept Paper for CMS - DRAFT; November 16, 2015.pdf
- DSS Oversight Plan Draft; January 13, 2016.pdf
- FQHC Sites as of June 4, 2015.pdf
- Informational Flyer (Provider); November 16, 2016.pdf
- Informational Session Flyer; November 16,2016.pdf
- Member Welcome Letter - Final Clean Production Copy; October 31, 2016 (2).pdf
- Member Welcome Letter - Final Clean Production Copy; October 31, 2016.pdf
- Model Design; September 22, 2015.pdf
- Model Design; September 30, 2015.pdf
- Participating Entity Foundational and Working Assumptions;December 3, 2015.pdf
- Participating Entity Oversight Requirements; December 3, 2015.pdf
- Participating Entity Qualifications; August 26, 2015..pdf
- PCMH Draft Issue Paper; March 16, 2016.pdf
- PCMH Issue Paper Draft; February 10, 2016.pdf
- PCMH Issue Paper Draft; January 13, 2016.pdf
- PCMH Plus Implementation Timeline - Draft; September 14, 2016.pdf
- PCMH Plus Welcome Letter - Draft; May 11, 2016 .pdf
- PCMH Plus Welcome Letter - Final Draft; September 14, 2016.pdf
- Proposed Care Coordination Activities - Discussion Draft; September 4, 2015 .pdf
- Proposed Care Coordination Activities - Discussion Presentation; September 10, 2015.pdf
- Proposed Model Design Timeline; October 14, 2015.pdf
- Quality Measure Proposed List; April 13, 2016.pdf
- Quality Measure Proposed List; August 26, 2015.pdf
- Quality Measure Rankings; September 22, 2015.pdf
- Quality Measure Rankings; September 30, 2015.pdf
- Shared Savings Payment Principles; February 10, 2016.pdf
- SPA PCMH Plus Public Notice and Draft SPA Pages; November 2016.pdf
- State of Connecticut MQISSP Elements Overview; August 26, 2015.pdf
- State of Connecticut Shared Savings Payment Principles; August 26, 2015..pdf
- Timeline Draft with 12 Month Extension; October 5, 2015.pdf
- Timeline Draft with Extensions; March 16, 2016.pdf
- Under-Service Utilization Strategy; September 30, 2015.pdf
- Under-Service Utlization Strategy; September 22, 2015.pdf