CT SB01110

Department of Social Services gains subrogation rights to recover Medicaid costs from insurers and third-party payers, with claims protected from denial based on submission date, format, or lack of prior authorization if filed within three years of service

Insurers must respond to Medicaid reimbursement claims within 60 days (reduced from 90 days), with failure to respond within 120 days creating an uncontestable obligation to pay

Low-Income Home Energy Assistance Program vendors must be paid within 10 business days (reduced from 30 days) after submitting authorized fuel slips, with electronic payment and submission options required starting November 1, 2023

Commissioner of Social Services authorized to implement bundled payments or alternative payment methodologies for maternity services to improve health quality, equity, and cost containment

State-funded medical assistance for children regardless of immigration status (household income up to 201% of federal poverty level for Medicaid, 201-323% for HUSKY B) now subject to third-party recovery provisions