On March 31, 2026, the state of Connecticut submitted a request to the Centers for Medicare & Medicaid Services (CMS) to renew the Connecticut Substance Use Disorder Section 1115(a) Demonstration for five years. The proposed demonstration renewal will allow Connecticut to continue to use Medicaid and CHIP funding to reimburse institutions for mental diseases (IMDs) for treatment provided to Medicaid-eligible individuals with substance use disorders (SUD). In addition, the demonstration renewal request incorporates proposals to address social determinants of health and implement a reentry demonstration initiative, which are part of the state's pending amendment request submitted March 27, 2024. The federal public comment period will be open from April 15, 2026 through May 15, 2026.