Text of Letter being sent to affected individuals:
Under federal law, HUSKY D provides Medicaid coverage for income-eligible adults without dependent
children who are between the ages of 19 and 64 and not enrolled in Medicare. Our records show that
you receive Medicare. Ordinarily, we would have stopped your HUSKY D coverage as soon as you
became eligible for Medicare. However, because of the COVID-19 pandemic, a change in federal rules
allowed us to temporarily extend your HUSKY D coverage even after you enrolled in Medicare. Now,
following the latest federal rules, we need to end your HUSKY D coverage because you are also enrolled
in the Medicare Savings Program (MSP). MSP is a Medicaid program that helps you with your Medicare
costs, such as premiums.
Because you are enrolled in both Medicare and MSP, we can no longer extend your HUSKY D coverage.
Your HUSKY D coverage will end on February 28, 2022. You will stay enrolled in MSP for as long as you
continue to qualify. You can read more about MSP at the end of this notice.
Also, because you are enrolled in Medicare, you do not qualify to enroll in and buy a Qualified Health
Plan through Access Health CT.
How did we make this decision?
The Department of Social Services (DSS) and Access Health CT (AHCT) used information from your
healthcare coverage applications. We may also have used information from government computer
systems such as the Social Security Administration and the Internal Revenue Service. There are
enclosures with this letter that will help you understand how we make our decisions.
For more information about HUSKY Health coverage, please review the “Different Types of HUSKY
Health” enclosure. We will also check to see if you might be eligible for HUSKY C based on the
information we have about you. HUSKY C is the state’s Medicaid program for individuals who are over
age 65, disabled, or blind. If the information we have suggests you may be eligible for HUSKY C, we will
send you a separate form to complete. You can also read more about HUSKY C at the end of this notice.
What should I do if I think you made a mistake?
You can appeal our decisions about your health coverage. For example, you can appeal if you think we
made a mistake about your age or eligibility for Medicare
We have sent a “Hearing/Appeal Request Form” with this letter. This form explains your rights and the
deadlines for asking for a hearing. For HUSKY Health decisions, the deadline is 60 days from the date of
this letter.
If you want to keep your current HUSKY Health coverage while the appeal process is ongoing, your
appeal request must be postmarked or received by DSS on or before the last day of coverage, or 10 days
from the date of this letter, whichever is later.
For decisions on whether you can buy a health plan through Access Health CT, you have 90 days from the date of the letter to request a hearing.
Sincerely,
The DSS HUSKY Health Program and Access Health CT
More about HUSKY C and long-term care programs
HUSKY C is the state’s Medicaid program for individuals who are over age 65, disabled, or blind. If you
need long-term care services and supports to help you remain in your home, or if you have a disability
and continue to work, then HUSKY C might be for you. You can learn more about HUSKY C online at
www.ct.gov/HUSKY.
What does having the Medicare Savings Program (MSP) mean for you?
• MSP will continue to provide assistance with cost-sharing for Medicare premiums, and,
depending on the level you qualify for, may also provide assistance with your Medicare
deductibles, coinsurance and other cost-sharing.
• You will continue to be eligible for Extra Help, which pays a portion of the Medicare Part D
premium and lowers your cost-sharing for medications on that plan’s list of covered
medications.
Do you have questions about this notice or want help navigating your healthcare options?
For application assistance or questions about Medicare, MSP, or HUSKY Health programs, please contact
CHOICES at 1-800-994-9422 for free and unbiased assistance
Spotlight on Volunteers: A Volunteer at heart – The Doris Blackmon Story 
Free and unbiased services are provided to Medicare-eligible individuals, families, and caregivers of all ages and income levels,…with particular attention to reaching individuals with disabilities, individuals who have low incomes, individuals who live in rural areas, and individuals whose primary language is not English.” Many services are available through CHOICES and although, due to the current pandemic, most services are provided by phone or virtual meetings, team members are still here to assist you. 
