Department of Social Services › 17-311 Cost Related Reimbursement System for Long-Term Care Facilities

Regulations of Connecticut State AgenciesSec. 17-311-209. Admissions(a) Nursing homes may not discriminate against indigent persons and shall admit all applicants for admission in the order in which the names of such applicants appear on the waiting list, except as otherwise prov…

Regulations of Connecticut State AgenciesSec. 17-311-21. Principal officeThe principal office of the commissioner is located at 110 Bartholomew Avenue, Hartford, Connecticut. The office of the commissioner is open from 8:30 a.m. to 4:30 p.m. each weekday except Saturdays, Sundays…

Regulations of Connecticut State AgenciesSec. 17-311-22. Date of filingAll orders, decisions, findings of fact, requests, correspondence, motions, petitions and any other documents governed by these rules shall be deemed to have been issued or received on the date on which they a…

Regulations of Connecticut State AgenciesSec. 17-311-23. SignaturesEvery request, application, notice, motion, petition, brief, and memorandum addressed to the commissioner shall be signed in behalf of the person filing. (Effective March 17, 1983)

Regulations of Connecticut State AgenciesSec. 17-311-24. Identification of communications to the commissionerCommunications should embrace only one matter and should contain the name and address of the sender and an appropriate file reference to the subject of the communication. …

Regulations of Connecticut State AgenciesSec. 17-311-25. Formal requirements as to copies of documents and other papers filed in proceedingsIn addition to the original, there shall also be filed three (3) copies for the use of the commissioner, unless the filing of a greater or l…

Regulations of Connecticut State AgenciesSec. 17-311-26. Service(a) General rule. Service of all documents and other papers filed in all proceedings, including but not limited to motions, petitions, applications, notices, briefs, and exhibits shall be by personal delivery or by f…

Regulations of Connecticut State AgenciesSec. 17-311-27. Designation of parties(a) In issuing the notice of hearing, the commissioner will designate as parties any persons known to the commissioner whose legal rights, duties, or privileges are being determined in the contested ca…

Regulations of Connecticut State AgenciesSec. 17-311-28. Participation by persons other than parties(a) Permission to participate. At any time prior to the commencement of oral testimony in any hearing on a contested case, any person may request that the commissioner permit that …

Regulations of Connecticut State AgenciesSec. 17-311-29. Representation of parties and intervenorsEach person authorized to participate in a contested case as a party or as an intervenor shall file a written notice of appearance with the commissioner. Such appearance may be filed…

Regulations of Connecticut State AgenciesSec. 17-311-3. Official addressAll communications should be addressed to the Commissioner of Income Maintenance, 110 Bartholomew Avenue, Hartford, Connecticut 06115, unless otherwise specified. (Effective March 17, 1983)

Regulations of Connecticut State AgenciesSec. 17-311-30. Commencement of contested caseWhen a hearing is required by law as to any person, the contested case shall be deemed to commence on the date of issuance of the agency determination which is the subject of the filing of the …

Regulations of Connecticut State AgenciesSec. 17-311-31. Place of hearingsAll hearings of the commissioner shall be held at Hartford at the office of the commissioner, unless a different place is designated by statute or by direction of the commissioner. (Effective March 17, 1983…

Regulations of Connecticut State AgenciesSec. 17-311-32. Notice of hearings(a) Persons notified. Except when the commissioner shall otherwise direct, the commissioner shall give written notice of a hearing in any pending matter to all persons designated as parties, to all persons…

Regulations of Connecticut State AgenciesSec. 17-311-33. General provisions(a) Purpose of hearing. The purpose of any hearing the commissioner conducts under Chapter 54 G.S. shall be to provide to all parties an opportunity to present evidence and argument on all issues to be con…

Regulations of Connecticut State AgenciesSec. 17-311-34. Witnesses and testimonyThe commissioner, his designated hearing officer and/or his designated presiding officer may administer oaths, take testimony under oath relative to the case, subpoena witnesses and require the produc…

Regulations of Connecticut State AgenciesSec. 17-311-35. Rules of evidenceThe following rules of evidence shall be followed in the admission of testimony and exhibits in all hearings held under Chapter 54 G.S. (a) General. Any oral or documentary evidence may be received; but the…

Regulations of Connecticut State AgenciesSec. 17-311-36. Filing of added exhibits and testimonyUpon order of the commissioner before, during, or after the hearing any party shall prepare and file added exhibits and written testimony. Such added exhibits and testimony shall be dee…

Regulations of Connecticut State AgenciesSec. 17-311-37. Uncontested disposition of request, application or petitionUnless precluded by law, any request, application, or petition may be resolved by stipulation, agreed settlement, consent-order or default, subject to the order of …

Regulations of Connecticut State AgenciesSec. 17-311-38. Delegations of powers to hearing officers or presiding officers(a) As provided in 17-2 G.S., the commissioner may delegate the power and authority to any deputy, assistant, investigator or supervisor to serve as hearing off…

Regulations of Connecticut State AgenciesSec. 17-311-39. Record in a contested caseThe record in a contested case shall include: (1) written notice related to the case; (2) all petitions, pleadings, motions and intermediate rulings; (3) evidence received or considered; (4) questi…

Regulations of Connecticut State AgenciesSec. 17-311-4. Public informationThe public may inspect the regulations, decisions, and public records of the commissioner at his office in Hartford. Requests should be submitted in writing to the commissioner at the above-stated official …

Regulations of Connecticut State AgenciesSec. 17-311-40. Final decision in a contested caseAll decisions and orders of the commissioner concluding a contested case shall be in writing. The commissioner will serve a copy of his final decision on each party in the manner required b…

Regulations of Connecticut State AgenciesSec. 17-311-41. General ruleThese rules set forth the procedure to be followed by the commissioner in the disposition of a petition concerning the promulgation, amendment, or repeal of regulations. (Effective March 17, 1983)

Regulations of Connecticut State AgenciesSec. 17-311-42. Form of petitionAny person may at any time petition the commissioner to promulgate, amend, or repeal any regulation. The petition shall conform to the rules hereinabove stated, where applicable, and shall set forth clearly …

Regulations of Connecticut State AgenciesSec. 17-311-43. Procedure after petition filed(a) Decision on petition. Upon receipt of the petition, the commissioner shall within thirty (30) days determine whether to deny the petition or to initiate regulation-making proceedings in acc…

Regulations of Connecticut State AgenciesSec. 17-311-44. GeneralThese rules set forth the procedure to be followed by the commissioner in the disposition of a request for declaratory rulings as to the validity of any regulation, or the applicability to specified circumstances of …

Regulations of Connecticut State AgenciesSec. 17-311-45. Form of petition for declaratory ruling(a) Any person may petition the commissioner, or the commissioner may on his own motion initiate a proceeding, for a declaratory ruling as to the validity of any regulation, or the app…

Regulations of Connecticut State AgenciesSec. 17-311-46. Procedure after petition for declaratory ruling filed(a) Within thirty days after receipt of a petition for a declaratory ruling, the commissioner shall give notice of the petition to all persons to whom notice is required …

Regulations of Connecticut State AgenciesSec. 17-311-47. Commissioner investigationsThe commissioner may at any time institute investigations for such purpose as may be authorized by law, including but not limited to investigations of the submission of any false or misleading fis…

Regulations of Connecticut State AgenciesSec. 17-311-48. ProceduresThe rules of notice, practice, and procedure set forth in Article 2 govern any hearing held in the course of such an investigation. (Effective March 17, 1983)

Regulations of Connecticut State AgenciesSec. 17-311-49. Reserved

Regulations of Connecticut State AgenciesSec. 17-311-5. Signature of documentsThe duly authorized and official documents of the commissioner including but not limited to the commissioner's orders, notices, and communications, shall be signed by the commissioner or his authorized …

Regulations of Connecticut State AgenciesSec. 17-311-50. Annual report used for submission of cost dataPursuant to sec. 17-311 of the General Statutes, the committee on state payments, (hereinafter referred to as \"committee\") approved, effective August 17, 1976, a cost report f…

Regulations of Connecticut State AgenciesSec. 17-311-51. Type of system used in promulgating rates; prospective rates; cost year; rate year; retroactive rate adjustmentEffective July 1, 1976, the system for determining per diem rates of payment to long-term care facilities in the…

Regulations of Connecticut State AgenciesSec. 17-311-52. Computation of per diem reimbursement ratesPer diem reimbursement rates shall be calculated for each level of care, e.g., chronic and convalescent hospital, rest home with nursing supervision and home for the aged, based up…

Regulations of Connecticut State AgenciesSec. 17-311-53. Desk review and field audits(a) The per diem rate of payment established pursuant to section 17-311-50 et seq. shall be determined by desk review of the submitted annual report which shall subsequently be verified and authe…

Regulations of Connecticut State AgenciesSec. 17-311-54. Optional rate determinationHomes for the aged and community residences for the mentally retarded shall have the option of complying with section 17-311-50 of the regulations which requires the annual reports and cost data b…

Regulations of Connecticut State AgenciesSec. 17-311-55. Interim ratesNewly constructed facilities shall receive an interim per diem rate of payment for each level of care computed on the basis of budgetary data (from CHHCFD-4 new 6/75) submitted to the commissioner. Newly acquir…

Regulations of Connecticut State AgenciesSec. 17-311-56. Record maintenance and retentionThrough June 30, 2004, each facility shall maintain all supporting records for the ten (10) most recent cost years without regard to change in ownership. Beginning July 1, 2004, each facility…

Regulations of Connecticut State AgenciesSec. 17-311-57. Hardship appealsThe commissioner shall consider requests for rate revisions due to hardship for any of the following reasons: (a) A sale of a facility is contemplated because of the death of the principal owner of a facilit…

Regulations of Connecticut State AgenciesSec. 17-311-58a. Calculated ratesThe rates that were calculated and paid for the rate year commencing July 1, 1983, and calculated and to be paid for the rate year commencing July 1, 1984, which were calculated, based on the skilled nursin…

Regulations of Connecticut State AgenciesSec. 17-311-59a. Facility beds licensed asAll facility beds licensed as chronic and convalescent nursing home beds by the Connecticut Department of Health Services (\"DHS\") pursuant to Sections 19a-493 of the Connecticut General Statutes …

Regulations of Connecticut State AgenciesSec. 17-311-60a. DefinitionsThe following terms are defined pursuant to Section 17-314 (b), of the Connecticut General Statutes. (a) \"Other allowable services\" are defined as those services provided by the types of providers listed below…

Regulations of Connecticut State AgenciesSec. 17-311-61a. Rate adjustments for charges in excess of reasonable and necessary costs for other allowable servicesPursuant to Section 17-314 (c):(a) No facility shall accept payment for other allowable services, as defined in Section 1…

Regulations of Connecticut State AgenciesSec. 17-311-62a. Rate adjustments for facilities subject to the provisions of section 17-314 (e) of the Connecticut general statutes(a) \"Available beds\" are defined as the average number of beds occupied by medical assistance patients fr…

Regulations of Connecticut State AgenciesSec. 17-311-6—17-311-10. Reserved