Skilled Nursing Services are governed by Sections 17b-262-587 through 17b-262-596b of the Regulations of Connecticut State Agencies and federal Medicare regulations 

3. Licensing or Certification 

Skilled Nursing Facilities (SNFs) must be Medicare certified 

4. Responsible State Agency 

The Connecticut Department of Social Services (DSS) oversees Medicaid coverage for Skilled Nursing Services 

5. Application Process 

Individuals can apply for Medicaid coverage of Skilled Nursing Services: 

Online at  www.connect.ct.gov 

By submitting a paper application (W-1LTSS form) to the appropriate Long-Term Services and Supports Application Center 

6. Required Documentation 

Applicants should provide: 

• Proof of income and assets 

• Medical records demonstrating the need for skilled care 

• Physician certification of the need for SNF care 

7. Timeline for Approval 

Specific timelines are not provided in the available information. Contact the DSS for details on the approval process. 

8. Pre-Application Process 

There is no specific pre-application process mentioned. However, individuals should ensure they meet the eligibility criteria before applying. 

9. Pre-Application Training 

No pre-application training is required for patients. However, SNFs must ensure their staff meet training requirements set by state and federal regulations. 

10. Additional Notes 

• Medicare covers up to 100 days of SNF care per spell of illness, with full coverage for the first 20 days and co-insurance for days 21-100 

• Patients must have a qualifying 3-day inpatient hospital stay before SNF admission for Medicare coverage 

• Medicaid may cover long-term SNF care for eligible individuals after Medicare coverage is exhausted 

• As of February 2025, Connecticut continues to emphasize quality of care in SNFs, with ConnectiCare compiling a list of contracted SNFs with Star Quality Ratings of 3 and above