Notice of Intent to Renew the 1915(b)(4) Medicaid Waiver for Case Management Services

In accordance with the provisions of section 17b-8 of the Connecticut General Statutes, notice is hereby given that the Commissioner of the Department of Social Services (DSS) intends to submit an application to the Centers for Medicare and Medicaid Services to renew the 1915(b)(4) waiver for case management services for the Connecticut Home Care Program for Elders 1915(c) waiver, the Connecticut Home Care 1915(i) program, and the Personal Care Assistance 1915(c) waiver. The 1915(b)(4) waiver which is the subject of this renewal application enables DSS to continue utilizing its case management procurement process to assign members of the above-referenced programs to contracted case management providers (access agencies) in accordance with the members' town and the access agencies' catchment area.

DSS' authority to operate under the current 1915(b)(4) waiver expires on 12/31/2025. DSS is not proposing any substantive changes to the 1915(b)(4) waiver at this time.

All written comments regarding this application must be submitted by November 27, 2025 to: Christine Weston, Director of Community Options Unit, DSS Central Office, 55 Farmington Avenue, Hartford, CT, 06105, or via email at [email protected].

• For a copy of the Notice of Intent, please follow this link.
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• For a copy of the full waiver application for the renewal of the 1915(b)(4) waiver for case management services, please follow this link.
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• For a copy of an Independent Assessment of the 1915(b)(4) waiver performed by University of Connecticut Health, Center on Aging, please follow this link.