AN ACT CONCERNING A FIVE-YEAR MEDICAID RATE REVIEW, DENTAL REPRESENTATION ON A MEDICAL ASSISTANCE OVERSIGHT COUNCIL, BIOMARKER TESTING AND OPIOID PRESCRIPTION COVERAGE REQUIREMENTS AND A STUDY CONCERNING PAYMENT OF SPOUSES FOR STATE-SUBSIDIZED HOME CARE.

This bill establishes new Medicaid payment rates and service limits for adult dental care and cognitive assessments in Connecticut. Starting July 1, 2026, it requires prior authorization for nonemergency dental services while exempting basic preventive care and medically necessary procedures from a $1,000 annual spending cap. The legislation also directs the state to update Medicaid reimbursement rates to match Medicare standards for cognitive assessments and care planning for patients under 65 showing signs of cognitive impairment. Additionally, it creates a structured advisory council with representatives from various healthcare sectors to oversee Medicaid service modifications and ensure balanced oversight of dental benefit limitations.