98-1 ConnTRANS rev 0107

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					Program Policies                               Program Application                                Facts About
       We issue vendor checks to a service     You can get a ConnTRANS application by
provider and can issue checks directly to
the transplant patient for payments such as
                                               contacting your hospital’s transplant unit or
                                               social service department, or by calling the
transportation, insurance premiums, etc.       Connecticut Department of Social Services,
These payments can be one-time or              Adult Support Unit, at:
recurring. We base benefit levels on the                                                          Connecticut Program for
out-of- pocket medical expenses the                            (860) 424-5250                     Organ Transplant Recipients
individual has, or expects to have, and the
availability of funds.                                                                            ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

                                               Send completed applications to:
       Individuals must complete a new
application every twelve months.                     Department of Social Services
                                                          Adult Support Unit
        Individuals are eligible for twelve              25 Sigourney Street
months, or until the fund runs out of money,              Hartford, CT 06106
whichever is earlier, or until they become

                                               The Department of Social Services’
                                               programs are available to all applicants and
                                               recipients without regard to race, color,
                                               religious creed, sex, marital status, age,
                                               national origin, ancestry, criminal record,
                                               political beliefs, sexual orientation, mental
                                               retardation, mental disability, learning
                                               disability or physical disability, including but
                                               not limited to blindness.

                                               This information is available in alternate
                                               formats. Phone (800) 842-1508 or TDD/TTY
                                               (800) 842-4524.

                                                   Published by the State of Connecticut
                                                      Department of Social Services

                                                  Publication No. 98-1, Revised May 2007
                                                                                          The asset limit for an individual or a
 About the Program                         Program Requirements                           family is $10,000. The assets we count
In 1993 the Connecticut General            The basic eligibility requirements for the
                                                                                           1. cash on hand
Assembly passed a bill that                ConnTRANS program are:
                                                                                           2. bank accounts
established a fund to help                   Applicants must be citizens or eligible       3. stocks and bonds
residents of Connecticut pay for             non-citizens who have lived in                4. severance pay, including pay for
medical and ancillary expenses               Connecticut for at least 60 days.             unused sick and vacation time
associated with an organ transplant.         There are two income limits that vary       We count the income and assets of the
Most of the money in the fund comes          according to family size:                   individual who is applying and the
from Connecticut residents who                                                           following persons who live with him or her
                                              1. For individuals who need help in        (we include the same individuals when we
donate part of their state income tax         paying the initial medical expenses of     determine family size):
refunds.                                      a transplant, the income limit is the           1. spouse
                                              median family income for Connecticut            2. parents, if the individual is under
In 1994 the Department of Social              established by the Census Bureau,               age 18
                                              U.S. Department of Commerce.                    3. children under age 18
Services was given the responsibility
of developing a program to help               2. For individuals who are transplant
                                              recipients who need help paying their     The ConnTRANS program has some
individuals pay for the medical and           ongoing medical needs, the income         income and asset limits exceptions:
nonmedical costs of an organ                  limit is 300% of the federal poverty       If the individual’s income exceeds the
transplant.                                   level.                                     respective limit, the individual may still be
                                                                                         eligible for some assistance. We could pay
                                              To be eligible for ConnTRANS, applied
 Program Benefits                            income must be equal to, or less than,
                                                                                         for any medical bills that exceed the
                                                                                         excess income. For example, if the
                                             one of the above income limits. Applied     person’s income exceeds the limit by
Some of the expenses ConnTRANS will          income is gross income minus health
help pay for are:                                                                        $500, we would subtract $500 from the
                                             insurance.                                  total amount of the transplant related
     physician and hospital services       We do not count all income. Some              expenses and pay the difference, provided
                                           examples of income we do not count are:       there is money available in the fund.
     prescription drugs
                                                  1. payments made to students for       If a family’s assets exceed $10,000 we
     health insurance                             educational purposes                   may still help. We could pay the expenses
                                                  2. payments made to certain            that exceed the family’s excess assets.
     medical transportation, including            volunteers such as foster              For example, if a family has $12,000
     parking fees for patient or family           grandparents                           ($2000 in excess of the limit) in the bank
                                                  3. JTPA earnings of a student          and $4000 in expenses, we could pay
     child care expenses and lodging for                                                 $2000 ($4000 minus the $2000 excess).
     patient or family members                    4. energy assistance payments

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