reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 17b - Social Services › 179b - Title IV-D Child Support Enforcement Program › Section 17b-179b-1 - Definitions

Current through July 10, 2024
As used in sections 17b-179b-1 through 17b-179b-4, inclusive, of the Regulations of Connecticut State Agencies:
(1) "Arrearage" means either one or a combination of (A) court ordered current support payments which have become due and payable and remain unpaid; and (B) support due for past periods that has been found owing by a court of competent jurisdiction, whether or not presently payable;
(2) "Arrearage adjustment" means a reduction by the Department of Social Services of the total arrearage owed to the State by a noncustodial parent in a child support case in accordance with sections 17b-179b-1 to 17b-179b-4, inclusive, of the Regulations of Connecticut State Agencies, and includes an equivalent reduction of the amount of unreimbursed assistance;
(3) "Arrearage adjustment program" means the system of scheduled arrearage adjustments prescribed by sections 17b-179b-1 to 17b-179b-4, inclusive, of the Regulations of Connecticut State Agencies for the purpose of encouraging the positive involvement of noncustodial parents in the lives of their children and encouraging noncustodial parents to make regular support payments;
(4) "Child support case" means one in which the Department of Social Services or any bureau, division, or agency of the department, or agency under cooperative or purchase of service agreement therewith, is providing child support enforcement services under Title IV-D of the federal Social Security Act;
(5) "Commissioner" means the commissioner of the Department of Social Services or said commissioner's designee;
(6) "Current child support obligation" means a court ordered amount for the ongoing support of a child, exclusive of arrearage payments, health care coverage and a child care contribution;
(7) "Custodial party" means the individual who has primary physical custody of a child;
(8) "Desk review" means an informal investigation of the automated and paper records of the Department of Social Services pertaining to a noncustodial parent or obligor participating in the arrearage adjustment program;
(9) "Domestic violence" means
(A)  physical acts that result in or are threatened to result in physical or bodily injury;
(B) sexual abuse;
(C) sexual activity involving a child in the home;
(D) forced participation in nonconsensual sexual acts or activities;
(E) threats of or attempts at physical or sexual abuse;
(F)  mental abuse; or
(G) neglect or deprivation of medical care;
Connecticut Administrative Code › Title 17b - Social Services › 179b - Title IV-D Child Support Enforcement Program › Section 17b-179b-2 - Parenthood Program requirements

Current through July 10, 2024
(a)
Certification
Participants in a Parenthood Program shall be eligible for an arrearage adjustment under section 17b-179b-3 a of the Regulations of Connecticut State Agencies only if such program is certified by the commissioner as a participating program which provides services that promote the positive involvement and interaction of noncustodial parents with their children.
(b)
Program components
A Parenthood Program seeking certification as a participating program under subsection (a) of this section shall demonstrate to the satisfaction of the commissioner that such program provides a minimum curriculum of at least twenty-four hours of programming over a twelve-week period, and a plan of service to assist male or female noncustodial parents to build healthy relationships with their children and establish or strengthen collaborative co-parenting alliances with the custodial party. To meet these requirements, a participating program shall provide services directly and by referral in at least the following areas:
(1) education, training and employment readiness;
(2) parenting education and services to strengthen the parent-child relationship;
(3) counseling, support and self-help;
(4) legal assistance and court advocacy;
(5) mental health and substance abuse services;
(6) housing;
(7) transportation;
(8) domestic violence services;
(9) conflict resolution and anger management;
(10) mentoring;
(11) relationship and co-parenting mediation; and
(12) pregnancy prevention.
Connecticut Administrative Code › Title 17b - Social Services › 179b - Title IV-D Child Support Enforcement Program › Section 17b-179b-3a - Arrearage adjustment program for Parenthood Program participants

Current through July 10, 2024
(a)
Eligibility for program
A noncustodial parent or obligor shall be eligible for the arrearage adjustment program for Parenthood Program participants if the Department of Social Services determines, based on information provided by a participating program or otherwise available to the department, that the requirements of this subsection are met.
(1) The noncustodial parent or obligor is participating and making satisfactory progress in a Parenthood Program, as demonstrated by quantifiable achievements that facilitate positive involvement with the child or the participant's ability to provide support, such as (A) signing a paternity acknowledgment, (B) signing a voluntary support agreement, (C) signing a co-parenting or mediation agreement, (D) attending one or more child development classes or (E) registering with the Department of Labor for skills training;
(2) The noncustodial parent meets program goals for appropriate involvement and interaction with the child or children and (A) has an active child support case where an arrearage is owed to the State of Connecticut and there is a current payment due to the custodial party or (B) is an obligor who now resides with the child or children to whom support is owed;
(3) The noncustodial parent or obligor applies for an arrearage adjustment and enters into a voluntary agreement as defined in subdivision (15) of section 17b-179b-1 of the Regulations of Connecticut State Agencies; and
(4) There have been no acts of domestic violence committed by the noncustodial parent or obligor against the custodial party of the child or the child involved in the child support case. For purposes of this subdivision, allegations of domestic violence may be sufficient to establish such acts of domestic violence when the commissioner has no independent, reasonable basis to find the custodial party not credible. The commissioner shall request a custodial party who alleges domestic violence by the noncustodial parent or obligor to provide a sworn statement or to submit any evidence of such violence available to such custodial party. Evidence of domestic violence may include, but is not limited to:
(A) Police, government agency or court records;
(B) documentation from a shelter worker, legal, medical, clerical or other professional from whom the custodial party has sought assistance in dealing with domestic violence; or
(C) a statement from an individual with knowledge of the circumstances which provide the basis for the allegation of domestic violence.
Connecticut Administrative Code › Title 17b - Social Services › 179b - Title IV-D Child Support Enforcement Program › Section 17b-179b-4 - Arrearage liquidation

Current through July 10, 2024
(a)
Definitions
As used in this section:
(1) "Arrearage liquidation" means an arrearage adjustment, as defined in section 17b-179b-1 of the Regulations of Connecticut State Agencies, of one hundred percent in accordance with this section based on a lump sum payment by the noncustodial parent of a specified percentage of the existing arrearage;
(2) "Liquidation percentage" means the portion of a noncustodial parent's total arrearage that may be accepted by the Commissioner of Social Services in full satisfaction of the support arrearage owed to the State of Connecticut.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-1 - Scope. Effective date

Current through July 10, 2024
As authorized by section 17b-198 of the Connecticut General Statutes, sections 17b-198-1 to 17b-198-19, inclusive, of the Regulations of Connecticut State Agencies, in conjunction with sections 8080 and 8080.10 of the Department of Social Services' Uniform Policy Manual, set forth the standards and eligibility guidelines for the state-administered general assistance program. The provisions of said sections shall be effective on and after written certification by the Commissioner of Social Services of the implementation of a computer system that integrates said standards and eligibility guidelines. The commissioner shall post the certification, and a copy of said regulations, on the department's website and the Secretary of the State's eRegulations System prior to implementing the regulations.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-3 - Beginning the eligibility process

Current through July 10, 2024
(a)
Application required.
(1) Except as provided in subsection (b) of this section, any person seeking assistance pursuant to SAGA shall complete and submit to the department an application on a form prescribed by the department. Each application shall be in writing and include, at a minimum:
(A) A formal request for assistance;
(B) the applicant's full name and address; and
(C) the signature of the applicant or person authorized to request assistance on the applicant's behalf. The signature required pursuant to this subdivision may be an electronic signature. The department shall forward application materials to any person who requests a paper application, and shall afford any person who appears in person and requests assistance an opportunity to file an application for assistance pursuant to SAGA or any other pertinent program administered by the department on the day such person appears in person.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-4 - Rules for forming the assistance unit and needs group

Current through July 10, 2024
(a)
Assistance unit composition.
Each person requesting or receiving assistance pursuant to SAGA shall be designated a one-member assistance unit, regardless of whether such person lives with a spouse, family member or other person who is requesting and eligible for assistance pursuant to SAGA.
(b)
Needs group composition.
To determine whether an assistance unit meets asset and income requirements for assistance pursuant to SAGA, as described in sections 17b-198-8 and 17b-198-9 of the Regulations of Connecticut State Agencies, and for the purpose of calculating the appropriate level of assistance for an eligible assistance unit, as described in section 17b-198-10 of said regulations, the department shall consider the assets and income of each member of the needs group to which the assistance unit member belongs. The needs group shall consist of the assistance unit member and his or her spouse, except that, whenever an assistance unit member and his or her spouse separate and no longer live together, such spouse shall be excluded from such member's needs group on the first day of the month following the month in which such spouse and member cease living together.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-5 - Determining eligibility. Threshold considerations

Current through July 10, 2024
(a)
Citizenship status.
Only (1) a United States citizen, (2) a qualified alien, as defined in 8 USC 1641, as amended from time to time, who is not eligible for federally funded forms of cash assistance, (3) an immigrant alien who, prior to August 22, 1996, entered the United States and was recognized as permanently residing under color of law, or (4) a lawfully residing immigrant alien shall be eligible for assistance pursuant to SAGA. For purposes of this subsection, "lawfully residing immigrant alien" has the same meaning as "alien who is lawfully present in the United States," as defined by 8 CFR 1.3, as amended from time to time.
(b)
Residency.
(1) Only a person who resides in Connecticut and intends to remain in Connecticut permanently or for the foreseeable future shall be eligible for assistance pursuant to SAGA. Except as provided in subdivision (2) of this subsection, a person who resides in Connecticut and is otherwise eligible for assistance pursuant to SAGA shall not be required to have a permanent dwelling or a fixed address to establish his or her Connecticut residency. A person who is temporarily absent from Connecticut shall remain eligible for assistance pursuant to SAGA, except that a person who is temporarily absent from Connecticut and establishes a legal residence in or is granted any public benefit by another state shall not be considered a resident of Connecticut, regardless of whether such person continues to maintain a residence in Connecticut or intends to return to Connecticut.
(2) A person's temporary absence from Connecticut shall not constitute abandonment of his or her Connecticut residency, provided such person (A) maintains permanent housing or has a fixed address in Connecticut, and (B) intends to return to Connecticut not later than thirty days after leaving the state.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-7 - Determining eligibility. Employability status

Current through July 10, 2024
(a)
Impairment to employability required.
No person shall be eligible for assistance pursuant to SAGA unless such person is unemployable, as described in subsections (b) and (c) of this section, or transitional, as described in subsections (d) and (e) of this section.
(b)
Medical unemployability.
A person shall be considered unemployable due to medical impairment when such person provides the department with current medical and vocational information, including information concerning such person's employment history, verifying that such person:
(1) Has been diagnosed with one or more physical or mental illnesses or conditions and:
(A) One or more of such illnesses or conditions are expected to last not less than six months;
(B) One or more of such illnesses or conditions, individually or collectively, prevent such person from working or participating in education or training; and
(C) One or more of such illnesses or conditions are severe, as determined by the department or the department's designee after consulting a schedule of medical-disability standards maintained and made available to the public by the department;
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-9 - Determining eligibility. Income restrictions

Current through July 10, 2024
(a)
Definitions.
As used in this section, the following terms shall have the following meanings:
(1) "Applied income" means the portion of the counted income of a person or needs group that remains after subtracting applicable deductions, as described in subsection (e) of this section;
(2) "Earned income" means income that a person receives (A) from a third party in exchange for the performance of duties, or (B) through self-employment, and may be in the form of wages, salary, benefits or proceeds from self-employment, but does not include income derived from renting property;
(3) "Gross income" or "gross counted income" means a person's or needs group's counted income prior to subtracting applicable deductions, as described in subsection (e) of this section;
(4) "Income in kind" means goods, commodities or services, valued according to their fair market value, that are provided to a person or to a third party on such person's behalf in lieu of cash that is owed to such person;
(5) "Personal employment expenses" means costs incident to being employed, including, but not limited to, the cost of transportation, parking, professional licensure and certification, tools and a uniform or other work-appropriate clothing; and
(6) "Unearned income" means income that does not constitute compensation for work, services performed or business conducted and includes returns from capital investments and the rent of property when the person is not actively involved in the production of the income.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-10 - Calculation of benefits

Current through July 10, 2024
(a)
Method.
(1) For an eligible assistance unit consisting of a married person whose spouse is included in his or her needs group, the monthly benefit payment shall be determined by:
(A) Selecting the appropriate payment standard pursuant to subsection (b) of this section;
(B) Subtracting from the appropriate payment standard the monthly applied income of such assistance unit's needs group;
(C) Multiplying the resulting amount by an amount calculated by dividing the amount that would be applied as a payment standard under subsection (b) of this section if such person were unmarried by the appropriate payment standard for such person; and
(D) Rounding down to the nearest whole dollar.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-11 - Special benefits

Current through July 10, 2024
(a)
Generally.
In addition to providing the assistance described in section 17b-198-10 of the Regulations of Connecticut State Agencies, the department shall, as a component of SAGA, provide special benefit payments, as described in this section.
(b)
Funeral and burial expenses.
(1) As used in this this subsection:
(A) "Available estate" means the portion of the net value of a decedent's assets, including (i) all liquid assets, (ii) any asset or income to which the decedent was entitled at the time of death, (iii) the face value of any life insurance policy issued on the life of the decedent, (iv) the value of any burial reserve account, revocable or irrevocable funeral fund or prepaid funeral contract, and (v) all real and personal property, such as, but not limited to, the decedent's home and motor vehicle, that remains after subtracting the cost or anticipated cost of administering the decedent's estate.
(B) "Covered funeral and burial expenses" means expenses typically associated with providing funeral and burial services for a decedent, including, but not limited to, the cost of (i) transporting the decedent from the place of death to the funeral home and on to the place of burial, (ii) a wake, (iii) church services, (iv) a burial plot, as defined in subsection (a) of section 17b-198-8 of the Regulations of Connecticut State Agencies, (v) opening and closing a grave, and (vi) other cemetery or cremation charges;
(C) "Eligible decedent" means a deceased person, other than a stillborn child, who was a SAGA recipient at the time of his or her death or who:
(i) Left an available estate of less than one thousand four hundred dollars or the actual cost of his or her funeral and burial, whichever is less;
(ii) Has no legally liable relative who is able to pay for the cost of his or her funeral and burial;
(iii) Was not receiving assistance pursuant to TFA, AABD or RCA at the time of his or her death; and
(iv) Was a resident of Connecticut at the time of his or her death, as determined under the rules described in subsection (b) of section 17b-198-5 of the Regulations of Connecticut State Agencies;
(D) "Legally liable relative" means a decedent's spouse or, if the decedent was under eighteen years of age, unmarried and not emancipated by a court of appropriate jurisdiction at the time of death, parents; and
(E) "Vendor" means a funeral home, cemetery or crematory.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-12 - Issuance of benefits

Current through July 10, 2024
(a)
Definitions.
As used in this section, "electronic benefits transfer account" means an account in a financial institution into which the department may deposit benefit payments that may be accessed by an appropriate payee, as described in subsection (b) of this section, by means of a debit card and personal identification number issued by the department.
(b)
Determining the appropriate payee.
The department shall make payment of any benefit issued pursuant to SAGA to the assistance unit member in whose name assistance is requested, except that when:
(1) Such member has appointed an authorized representative and has notified the department that such authorized representative should receive such payment on his or her behalf, payment shall be made to such authorized representative;
(2) Such member is an unmarried person between the ages of eighteen and twenty-one who lives with a TFA assistance unit under the circumstances described in subparagraph (A) of subdivision (2) of subsection (b) of section 17b-198-10 of the Regulations of Connecticut State Agencies, payment shall be made to the TFA assistance unit's head of household;
(3) Such member has a legally appointed conservator, guardian or other legal representative, payment shall be made to such conservator, guardian or other legal representative;
(4) Such payment is for a special benefit authorized pursuant to section 17b-198-11 of the Regulations of Connecticut State Agencies, payment shall be made in accordance with subsection
(l)
of said section;
(5) Such member resides in a rated housing facility or a licensed residential care home, payment shall be made to such facility or home and the department shall notify such member that payment in his or her name has been made to such facility or home; or
(6) DMHAS, or its designee, or the department determines that there has been financial mismanagement pursuant to subsection (e) of this section, the department may appoint a protective payee to receive and manage such payments or a portion thereof on behalf of the assistance unit.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-13 - Application processing standards

Current through July 10, 2024
(a)
Standard processing deadline.
(1) Except as provided in subsections (b) and (c) of this section:
(A) For any application for assistance that requires the department to make a determination concerning whether a person has a physical or mental disability that renders him or her unemployable, as described in section 17b-198-7 of the Regulations of Connecticut State Agencies, the department shall, not later than sixty days after the date such application is received, (i) grant assistance and issue the initial benefit payment if eligibility has been established, (ii) deny assistance and issue a notice of denial to the applicant if eligibility has not been established, or (iii) provide the applicant with notice that a decision has not yet been made on his or her application and that he or she may request a fair hearing; and
(B) For any other application for assistance, the department shall, not later than forty-five days after the date such application is received, (i) grant assistance and issue the initial benefit payment if eligibility has been established, (ii) deny assistance and issue a notice of denial to the applicant, if eligibility has not been established, or (iii) provide the applicant with notice that a decision has not yet been made on his or her application and that he or she may request a fair hearing.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-14 - Continuing eligibility

Current through July 10, 2024
(a)
The renewal process.
The department shall periodically determine whether an assistance unit's eligibility for assistance pursuant to SAGA should be renewed and whether such assistance unit is receiving the appropriate level of assistance. The department shall provide notice of its intention to begin the renewal process not later than during the month preceding the month in which such renewal process will occur.
(b)
Renewal frequency.
(1) The department shall begin the renewal process for an assistance unit as necessary based on the likelihood that such assistance unit's eligibility status has changed or will change, provided (A) the first renewal shall occur not later than during the twelfth month after the month in which the assistance unit became eligible for assistance, and (B) each subsequent renewal shall occur not later than the twelfth month after the month in which the previous renewal occurred.
(2) Notwithstanding the provisions of subdivision (1) of this subsection, an eligibility renewal shall occur not later than the third month after the month in which a person became eligible for assistance for any person (A) who was granted assistance without filing a new application after requesting such assistance not later than thirty days after being released from a correctional or mental health facility, as described in subdivision (2) of subsection (b) of section 17b-198-3 of the Regulations of Connecticut State Agencies, and (B) whose eligibility for assistance would have been subject to the renewal process prior to the expiration of the month in which renewal is required by this subsection, had such person not been institutionalized in such facility.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-15 - Adverse action notice

Current through July 10, 2024
(a)
Definitions.
For purposes of this section, "adequate notice" means notice concerning a termination, reduction or suspension of assistance pursuant to SAGA, or concerning a change in the manner or form of payment of such assistance, that includes a statement of the department's intended action, the reasons for the intended action, the regulatory or statutory authority supporting such action, an explanation of the assistance unit's right to request a fair hearing to contest the action and the circumstances under which benefits are continued if the assistance unit requests a fair hearing.
(b)
Advance notice required.
Except as provided in subsection (c) of this section, the department shall provide an assistance unit with adequate notice of its intent to terminate, reduce or suspend assistance pursuant to SAGA, or to modify the manner or form of payment of such assistance, not later than ten days prior to the date it implements any such action. For purposes of this subsection, the date on which the department mails or otherwise transmits adequate notice to an assistance unit shall be considered the date such notice was provided.
(c)
Advance notice not required.
The department may take any action described in subsection (b) of this section that is applicable to a particular case without providing the advance notice required pursuant to said subsection, provided adequate notice is provided not later than the date such action is taken, whenever:
(1) The department receives information verifying that the assistance unit member died, moved to another state or has been granted SSI or SSDI benefits or cash assistance pursuant to any other state or public assistance program;
(2) The department receives a clear, written statement signed by the assistance unit member indicating that such member (A) no longer wishes to receive assistance pursuant to SAGA, or (B) is providing information to the department that requires the department to terminate or reduce the level of assistance being provided to such member, and that such member understands that such adverse action must result due to such information;
(3) The department receives information verifying that such member has been committed to an institution that results in his or her ineligibility for continued assistance pursuant to SAGA;
(4) At the time the department granted assistance, it provided written notice to such member informing him or her that such assistance would automatically terminate at the end of a specific period and such period has now ended;
(5) The department determines that an appropriate payee has committed financial mismanagement, as described in subsection (e) of section 17b-198-12 of the Regulations of Connecticut State Agencies; or
(6) The assistance unit member's whereabouts are unknown and the post office returns departmental mail directed to such member, indicating there is no known forwarding address for such member.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-16 - Benefit and debit card replacement

Current through July 10, 2024
(a)
Definitions.
As used in this section, "electronic benefits transfer account" has the same meaning as provided in subsection (a) of section 17b-198-12 of the Regulations of Connecticut State Agencies.
(b)
Generally.
(1) Subject to the provisions of this section, the department shall replace any benefit payment that is stolen, lost, destroyed or mutilated after issuance in an amount equivalent to the amount initially issued or, if such payment was initially issued in an incorrect amount, in the amount that should have initially been issued, except that the department shall not replace any benefit payment that was previously issued in error. Prior to issuing a benefit replacement payment, the department shall verify all pertinent information concerning the original payment of such benefits, including, but not limited to, the method used to issue such payment, the date such payment was issued, the address to which such payment, if issued by check, was mailed and whether such payment, if attempted by electronic deposit, was successfully completed.
(2) Subject to the provisions of this section, the department shall replace any debit card associated with an electronic benefits transfer account when such card is lost, stolen, mutilated, destroyed or demagnetized such that it no longer functions properly, or when the appropriate payee changes. The department shall issue a replacement debit card within three business days of the date the department is notified of the occurrence of any event requiring the replacement of such card. An appropriate payee shall immediately notify the department or its designee whenever a debit card is lost or stolen. Upon receipt of such notification, the department or its designee shall, as soon as practicable, deactivate such debit card. The department may charge a fee for the replacement of any debit card that is replaced due to the negligence of the person for whose benefit payments are deposited into such account.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-17 - Benefit payment error and correction. Administrative disqualification hearings

Current through July 10, 2024
(a)
Definitions.
As used in this section, the following terms shall have the following meanings:
(1) "Overpayment" means an amount of benefits issued to an assistance unit by the department in excess of the amount of benefits to which such assistance unit was properly entitled; and
(2) "Underpayment" means an amount of benefits to which an assistance unit was properly entitled that the department did not issue to such assistance unit.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-18 - Methods of recovery

Current through July 10, 2024
(a)
Recovering from interests assigned to the department.
(1) Subject to the provisions of subdivision (2) of this subsection, the department shall, pursuant to the assignment of interest required under subsection (f) of section 17b-198-6 of the Regulations of Connecticut State Agencies, recover an assistance unit's interest in:
(A) The settlement of a decedent's estate, provided the department shall recover from the assistance unit's interest in such estate an amount not to exceed the amount of SAGA benefits paid to such assistance unit as of the date the assistance unit became entitled to use assets from such estate for his or her benefit, or fifty per cent of the assets from the estate that are payable to such member, whichever is less;
(B) The net proceeds of any monetary damages or settlement received by such assistance unit in connection with a cause of action, provided the department shall recover such proceeds in an amount not to exceed the amount of SAGA benefits paid to such assistance unit as of the date of the award of such proceeds, or fifty per cent of such proceeds after payment of all expenses connected with such cause of action, whichever is less; and
(C) A retroactive SSI benefits award, provided that the portion of such award recovered by the department shall be prorated by the number of members in such assistance unit's SSI assistance unit and shall not exceed the amount of SAGA benefits paid during the period the retroactive SSI benefits award is intended to cover.
Connecticut Administrative Code › Title 17b - Social Services › 198 - The State-Administered General Assistance Program › Section 17b-198-19 - Certain benefit levels maintained

Current through July 10, 2024
Notwithstanding the provisions of sections 17b-198-9 and 17b-198-10 of the Regulations of Connecticut State Agencies, any married person receiving SAGA benefits at the time said sections become effective whose benefits would be reduced or terminated due to the implementation of subsections (a) and (b) of section 17b-198-10 of the Regulations of Connecticut State Agencies, shall continue to receive the same amount of SAGA benefits such person was receiving prior to the effective date of said sections, provided other circumstances affecting such person's eligibility and appropriate level of assistance do not change.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-1 - Scope

Current through July 10, 2024
Sections 17b-262-2 to 17b-262-9 inclusive set forth the requirements for payment of Home Health services provided to individuals who are determined eligible to receive services under Connecticut's Medical Assistance Program pursuant to Section 17b-262 of the Connecticut General Statutes.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-2 - Definitions

Current through July 10, 2024
For the purpose of Sections 17b-262-1 through 17b-262-9 the following definitions apply:
(1)
"Commissioner"
means the Commissioner of the department of social services, or his representative.
(2)
"Department"
means the State of Connecticut department of social services, or its agent.
(3)
"Home"
means the recipient's place of residence which includes a boarding home or Home for the Aged. Home does not include a hospital, Skilled Nursing Facility, Intermediate Care Facility, or Intermediate Care Facility for the Mentally Retarded.
(4)
"Home Health Care Agency"
means the definition contained in subsection (d) of section 19a-490 of the Connecticut General Statutes (CGS).
(5)
"Home Health Provider"
means any home health care agency licensed by the Department of Public Health and who also meets the requirements for participation in Medicare. Providers shall also meet all departmental enrollment requirements.
(6)
"Refusal to Serve"
shall mean a refusal to accept a new client, a termination of service to an existing client, or an interruption of service to an existing client which lasts longer than 48 hours.
(7)
"Service Area"
means those cities or towns designated by zip codes on forms provided by the department.
(8)
"Suspension of Service"
shall mean an interruption of service to an existing client which lasts 48 hours or less.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-3 - Provider participation

Current through July 10, 2024
In order to receive payment from the department for home health services, all Home Health Care Agencies shall be licensed by the Department of Public Health and shall meet the requirements for participation in Medicare. [Home Health Care Agency Licensure Regulations: Public Health Code Sections 19-13-D66 to D79 Inclusive and Federal Regulation: Sections 42 (Code of Federal Regulations) 440.70 and 42 (Code of Federal Regulations) 441.15]. Providers shall also meet all departmental enrollment requirements.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-5 - Policy

Current through July 10, 2024
No home health care agency enrolled as a Medicaid provider shall select a service area, or refuse to serve any person, based on the geographical location of the service to be provided unless the home health care agency has a legitimate, nondiscriminatory reason for its choice of service area or its refusal to serve. Referrals for service made to Medicaid enrolled home health care agencies shall not be refused if the patient's home is located within the home health care agency's designated service area. Any and all home health care agency refusals to serve shall be documented and based upon objective, legitimate, non-discriminatory reason(s). Upon receipt of a complaint of discriminatory action by a home health care agency, the home health care agency's proof of legitimate non-discriminatory purpose shall be evaluated to determine that it is not pretextual.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-6 - Designation of service area

Current through July 10, 2024
(a) All home health care agencies shall designate their service area by identifying the zip codes of the areas which they serve on a form to be provided by the department. All changes in that service area shall be reported to the department on an annual basis. The designated service area shall not be smaller than that reported to the Department of Public Health. If an agency serves any zip code within a town or municipality, the agency shall serve all zip codes within such town.
(b) The department shall timely evaluate all such designations, and changes in designations, to determine that the service area has not been chosen in a pattern which suggests an intent to avoid, or has the effect of avoiding, areas with a high concentration of minority residents, based on census data and other objective information. If the department determines that the choice of service area is designed to or has the effect of avoiding areas with a high concentration of minority residents, the agency shall be notified in writing of such determination and shall be required, within ten days, to provide written justification of its choice of service area based upon legitimate non-discriminatory reasons in accordance with subsection 17b-262-8, Legitimate Non-Discriminatory Reason.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-7 - Refusal to serve

Current through July 10, 2024
(a) All home health care agencies shall record each and every written or oral refusal to serve and suspension of service, including but not limited to discharges, including the date, the name and address of the patient or the reason why the name and address is unavailable, the reason for the refusal to serve, and identifying the support for this reason.
(b) If the stated reason for the refusal to serve is that there is an immediate danger to the health and safety of the home health care agency's personnel, the home health care agency shall, within 48 hours of the refusal to serve or discharge:
(1) Complete a form to be provided by the department detailing the timely, objective and substantial evidence on which the refusal to serve is based, the reasonable efforts taken to protect the home health care agency personnel, the geographic area covered by the refusal to serve, and the actual or expected duration of the refusal to serve;
(2) If the name and address of the client are known, send the client written notice of the refusal to serve in a form prescribed by the department, which notice shall include the reason for the refusal to serve, the timely, objective and substantial evidence on which the refusal to serve is based, the length of time during which service shall be refused, the right of the client to file a complaint with the department; and informing the client of his or her right to seek legal advice if he or she feels his or her rights have been violated; and
(3) Send the department a copy of the form with a copy of the notice to the client attached.
If the department determines that the agency has failed to comply with these requirements, the home health care agency shall be notified in writing of such determination, and shall be required, within ten days of receipt of the notice, to submit, in writing, justification for its failure to comply based on legitimate nondiscriminatory reasons in accordance with section 17b-262-8.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-8 - Legitimate non-discriminatory reason

Current through July 10, 2024
(a) In any case in which a home health care agency is required to provide written justification based upon legitimate non-discriminatory reasons in accordance with this section, the home health care agency shall be afforded an opportunity to demonstrate, and shall have the burden of demonstrating, that it had a legitimate, nondiscriminatory reason for its actions, including but not limited to:
(1) The patient's non-compliance with the plan of care;
(2) Lack of staff qualified for the client's particular medical needs; and
(3) Immediate danger to the health or safety of home health care agency personnel.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Section 17b-262-9 - Sanctions

Current through July 10, 2024
If the department determines, in accordance with sections 17b-262-1 through 17b-262-9, that these regulations have been violated, the department shall provide the home health care agency a written notice of violation stating the basis of the department's determination and the sanctions to be imposed. Such sanctions may include any of the following, alone or in combination:
(a) Termination of provider agreement;
(b) Monitoring and/or reporting requirements;
(c) Public Notice; and
(d) Such other and further sanctions as the department deems appropriate.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Requirements for Payment of School Based Child Health Services › Section 17b-262-213 - Scope

Current through July 10, 2024
Sections 17b-262-213 to 17b-262-224 inclusive set forth the requirements for payment of school based child health services provided by or on behalf of Local Educational Agencies (LEAs) under section 10-76d of the Connecticut General Statutes (CGS), and Part B of the Individuals with Disabilities Education Act (IDEA) 20 U.S.C section 1411 et seq., to children determined eligible to receive such services under Connecticut's Medical Assistance Program pursuant to section 17b-262 of the CGS.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Requirements for Payment of School Based Child Health Services › Section 17b-262-215 - Provider participation

Current through July 10, 2024
In order to participate in the Connecticut Medical Assistance Program and provide SBCH Services eligible for Medicaid reimbursement from the Department, the provider shall meet the following requirements:
(1) Enroll with the Department, and have on file, a valid provider agreement. This agreement shall be updated annually in order to continue billing the Department for services.
(2) Ensure that all professionals employed by or under contract arrangements with a LEA to provide school based child health services meet all applicable federal and state licensing and certification requirements.
(3) Comply with all Medicaid documentation and other requirements, including, but not limited to those delineated in the provider agreement.
(4) Follow all laws, rules, regulations, policies and amendments which govern Medicaid reimbursement for services provided pursuant to Part B of IDEA, as amended from time to time, and section 10-76 of the CGS, and which are specified by the federal government and the State of Connecticut.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Requirements for Payment of School Based Child Health Services › Section 17b-262-217 - Need for services

Current through July 10, 2024
Medicaid shall reimburse for SBCH Services provided the following requirements are met:
(a) The diagnostic and evaluation services recommended by the PPT and a licensed practitioner of the healing arts in the initial evaluation or triennial reevaluation of the child are supported by reports containing recommendations by licensed or certified practitioners within the scope of their practice as defined by state law.
(b) The ongoing treatment services, as recommended by the PPT and a licensed practitioner of the healing arts, are specified in the child's IEP on file with the respective LEA. The IEP shall include, either in the IEP document itself or in an attachment to the IEP, but is not limited to:
(1) applicable medical diagnoses in a format acceptable to the department;
(2) anticipated treatment goals;
(3) a description of the type, amount, frequency and duration of the services to be furnished;
(4) identification of the type(s) of service providers(s); and
(5) signature(s) of licensed practitioner(s) of the healing arts, within their scope of practice as defined by state law, recommending the plan of medical services.
Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Requirements for Payment of School Based Child Health Services › Section 17b-262-218 - Services covered

Current through July 10, 2024
The Department shall pay for the following services:
(a)
Audiology
Audiology services include, but are not limited to:
(1) identification of children with hearing loss;
(2) determination of the range, nature and degree of hearing loss, including referral for medical or other professional attention for the treatment of hearing;
(3) provision of treatment activities, such as language habilitation, auditory training, speech reading (lip reading), hearing evaluation and speech conservation;
(4) creation and administration of programs for the prevention of hearing loss;
(5) counseling and guidance of children, parents and teachers regarding hearing loss; and
(6) determination of the child's need for individual or group amplification, selecting and fitting an appropriate aid and evaluating the effectiveness of amplification, provided that these services are within the scope of practice set forth in subsection (3) of section 20-408 of the CGS.