Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 313b - Establishment of Rates for Community Living Arrangements Licensed by the Department of Mental Retardation › Section 17-313b-6 - Computation of per diem room and board reimbursement rates for community living arrangements in leased units in multi-unit structures

Current through July 10, 2024
Per diem reimbursement rates for room and board provided by a
				community living arrangement in a leased unit of a multi-unit structure shall
				be based upon:
(1) A reasonable rent
			 based on an arms-length transaction between unrelated parties reviewed by the
			 commissioner.
(2) An amount for the
			 reasonable cost of dietary, laundry, maintenance, housekeeping, transportation,
			 utilities, fuel, property-related insurance, and property taxes.
(3) An amount for the reasonable cost of
			 moveable equipment based upon depreciation and interest according to generally
			 accepted accounting principles.
(4)
			 An amount for reasonable interest expense required to obtain necessary working
			 capital.
(5) Grants, gifts,
			 fundraising, or endowment income specifically designated for payment of
			 operating costs included in the room and board rate, based on actual cost or
			 fair rental computations, shall be offset against those costs.
(6) Computation of a per diem reimbursement
			 rate based upon the total cost as adjusted by the procedures referred to above
			 divided by minimum allowable resident days or resident days whichever is
			 greater for the applicable cost year.
A resident day is the unit of measurement for room and board
				provided and client-based services rendered to one client between the
				census-taking hour on two successive days. In computing resident days, the
				first day of residence shall be counted but the last day of residence shall
				not. In computing resident days, reserve bed days for which payment is received
				shall be counted.
For purposes of computing minimum allowable resident days,
				utilization of a community living arrangement's licensed beds shall be
				determined at a minimum of 90% of capacity (excluding beds designated for
				respite care), except for newly licensed community living arrangements and
				existing CLA's which are licensed to serve additional clients which may be
				permitted a lower occupancy rate for the first three months of operation after
				the effective date of licensure, minimum allowable resident days for beds
				designated for respite care shall be determined at a minimum of 50%
				capacity.
In the event that a bed designated for respite care is not
				suitable for full-time use for such purpose, the organization may request, in
				writing, a waiver of the 50% minimum occupancy for such bed in the affected
				community living arrangement. Based on consideration of the information
				presented and any other factors as the commissioner deems pertinent, the
				commissioner may grant a waiver. If such a waiver is granted, actual respite
				days of care for the bed for which payment is received will be used in the
				computation of the community living arrangement's per diem reimbursement
				rate.