Initial Medicaid Implementation: Connecticut was one of the first states to initially sign on to establish the Medicaid program. The program was established in July of 1966, a year after the passage of the law. By 1969 the state began to implement cuts to the program, likely due in large part to the growth of the nursing home industry following implementation. Nursing facility beds doubled in the state following implementation. While less is written about the early implementation of the state’s Medicaid program, a Hartford hospital claims the first Medicare beneficiary.
Key Medicaid Political Issues: Connecticut has been a leader in expanding coverage. In 2012 the state dropped its managed care contracts after using managed care for the adult population for 15 years. This is especially notable considering the high prevalence of insurance companies located in Connecticut.
Medicaid Expansion Implementation: Connecticut was one, and the first, of several states to take advantage of the early expansion program offered under the Affordable Care Act. The state created an eligibility group for certain low-income childless adults, many of whom were previously eligible for an existing program (SEGA) into Medicaid. Approximately 75,000 people making below 56% of poverty were eligible to enroll in the early expansion. The state has had a series of policies that connect incarcerated individuals with Medicaid expansion.
General facts about Connecticut Medicaid:
Medicaid program name: HUSKY Health
CHIP Program name: HUSKY B
Separate or combined CHIP: Separate CHIP
Medicaid Enrollment: 771,600 (2017)
Total Medicaid Spending: $7.9 billion (FY 2016)
Share of total population covered by Medicaid: 19% (2015)
Share of Children covered by Medicaid: 33% (estimate)
Share of Medicaid that is Children and Adults: 76%
Share of Spending on Elderly and people with disabilities: 57%
Share of Nursing Facility Residents covered by Medicaid: 66% (estimate)
Expansion state: Yes
Number of people in expansion: 207,600
Work Requirement: No (Proposed in the legislature in March of 2018)