Page 9
June 2021
M02—EMS M02—Code not used in ImpaCT
2540.48
Previously HUSKY A Pregnant Woman Extension • Must be in any MN coverage group when pregnancy ends in order to receive M02 extension (Ex. F99, P99) • The M02 group was originally intended to provide post-partum coverage for medically needy pregnant women (P95 and P99) • All other pregnant women (X01, P01, and P02) should receive post- partum coverage in the M01 coverage group
Repurposed Medical coverage group- used exclusively by Central Office effective 11/2015 To 10/1/2016
• For institutionalized Husky D clients with income above 138%FPL, and/or recipients of Medicare over 65 years of age
Pregnant Woman Extension
*** X01 coverage extended for 2 months after birth month of child
Repurposed Medical coverage group- used exclusively by Central Office effective 11/2015 To 10/1/2016
No longer used as of 10/01/16
M03--EMS M03—ImpaCT
8040
State-funded Pre-Admission Screening—(Other Medical)
• Individual must be 65 or older and in need of LTC services • Individual must be able to avoid institutionalization with community- based services
Processed by Community Options
Use of special asset test
No income test: recipients have a cost share based on income
As long as requirements are met
Cases must be reviewed periodically for Title XIX eligibility
M04—EMS M04—ImpaCT
CT Gen Statute §17b- 278b
HUSKY A Coverage group for breast and cervical cancer for Women
Have been screened for breast or cervical cancer under the Centers for Disease Control and Prevention’s National Breast and Cervical Cancer Early Detection Program established under Title XV of the Public Health Service Act (42 USC 300k et. seq.), and found to need treatment for either breast or cervical cancer Not otherwise covered under “creditable coverage,” as defined in section 2701 (c) of the Public Health Service Act. Examples of creditable coverage are group health insurance, Medicare and Medicaid; otherwise have creditable coverage, as defined in 42 USC 300gg Under age 65 A resident of Connecticut U.S. citizen or eligible non-citizen Not otherwise be eligible for Medicaid as a member of a mandatory categorically needy coverage group
Processed by BCC liaison Eligibility established by Qualified Entities
DPH: The Connecticut Breast and Cervical Cancer Early Detection Program