Connecticut Administrative Code

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. 17-311-58. (Repealed) Repealed March 17, 1983.

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. 17-311-59. (Repealed) Repealed March 17, 1983.

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. 17-311-60. (Repealed) Repealed March 17, 1983.

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. 17-311-61. (Repealed) Repealed March 17, 1983.

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. 17-311-62. (Repealed) Repealed March 17, 1983.

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. 17-311-63—17-311-90. (Repealed) Repealed March 17, 1983.

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

Regulations of Connecticut State AgenciesSec. 17-311-91—17-311-100. Reserved

Regulations of Connecticut State AgenciesSec. 17-312-101. Principles to be used in computing ratesThe principles of hospital cost reimbursement to be used in computing rates pursuant to Section 17-312 (a), (b) and (c) shall be those set forth in Title XVIII of the Social Security…

Regulations of Connecticut State AgenciesSec. 17-312-102. General reimbursement policyThe Department of Income Maintenance (hereinafter the Department) will reimburse inpatient acute care services in accordance with rules set forth herein. Definitions.(a) \"Admissions\" means the…

Regulations of Connecticut State AgenciesSec. 17-312-103. Medicaid interim per diem rate(a) Interim Rate ComputationThe Department will reimburse inpatient acute care services based on an interim per diem rate subject to cost settlement per Section 17-312-104 (b) of these regulat…

Regulations of Connecticut State AgenciesSec. 17-312-104. Determination of TEFRA reimbursement level(a) TEFRA Payment MethodologyThe Department will determine Medicaid allowable inpatient costs pursuant to TEFRA principles of reimbursement. The components of Medicaid allowable in…

Regulations of Connecticut State AgenciesSec. 17-312-105. Other related information(a) RebasingAfter the implementation year, the Commissioner may in his sole discretion, select a new base period using actual cost data from more recent years for prospectively determining the targ…

Regulations of Connecticut State AgenciesSec. 17-312-106. Free-standing chronic disease hospitals with over 50% medicaid patient days(a) Commission Rate Order. A chronic disease hospital having more than an average of 50% of its inpatient days paid for by the Department may seek …

Regulations of Connecticut State AgenciesSec. 17-312-107. Disproportionate share adjustmentFor purposes of this regulation, the following definitions apply:(a) Definitions(1) \"Medicaid inpatient utilization\"—For a hospital, the total number of its Medicaid inpatient days includ…

Regulations of Connecticut State AgenciesSec. 17-312-108—17-312-200. Reserved

Regulations of Connecticut State AgenciesSec. 17-312-201. Non-required acute hospital careFor hospital patients who no longer require acute hospital care, the Department will only pay for those patients who qualify for Medicaid certified Skilled Nursing Facility or Intermediate C…

Regulations of Connecticut State AgenciesSec. 17-312-202. Interim rate of payment to hospitalsAs an interim rate of payment to hospitals, prior to cost settlement, the Department will pay: (1) for the first seven days of hospital care for patients who no longer require acute care…

Regulations of Connecticut State AgenciesSec. 17-312-203. Rate of payment to hospitals for cost settlement purposesAs a rate of payment to hospitals for cost settlement purposes, the Department will pay: (1) for the first seven days of hospital care for patients who no longer req…

Regulations of Connecticut State AgenciesSec. 17-313b-1. DefinitionsAs used in Sections 17-313b-1 to 17-313b-17, inclusive:(1) \"Commissioner\" means the Commissioner of Income Maintenance or his designated representative.(2) \"Commissioner of Mental Retardation\" means said comm…

Regulations of Connecticut State AgenciesSec. 17-313b-10. Interim room and board and client-based service rate determination process for newly licensed community living arrangementsNewly licensed community living arrangements shall file an operational plan with the appropriate De…

Regulations of Connecticut State AgenciesSec. 17-313b-11. Amortization of start-up costs not paid by the Department of Mental Retardation through start-up fundingCosts that are normally identified under generally accepted accounting principles as organizational expenses and/or co…

Regulations of Connecticut State AgenciesSec. 17-313b-12. Interim contract year adjustment of client-based service rateOrganizations are not to exceed cost elements included in their negotiated rate without prior written authorization from the appropriate Department of Mental Ret…

Regulations of Connecticut State AgenciesSec. 17-313b-13. Phase-in of client-based service rate systemThree separate rate setting systems shall exist to establish service rates for the contract year July 1, 1987 through June 30, 1988. For succeeding contract years, all existing c…

Regulations of Connecticut State AgenciesSec. 17-313b-14. Record maintenance and retentionEach organization shall maintain all supporting accounting and business records and records relating to the provision of service which shall be available for review at a place and time deter…

Regulations of Connecticut State AgenciesSec. 17-313b-15. AuditsThe Departments of Income Maintenance and Mental Retardation shall have the right to audit all supporting accounting and business records and all records relating to the provision of services to clients funded by the…

Regulations of Connecticut State AgenciesSec. 17-313b-16. Other reporting requirementsEach organization which has filed an initial operational plan negotiated client-based service rate(s) and has had room and board rate(s) established under that plan shall file subsequent mid-yea…