Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 311 - Cost Related Reimbursement System for Long-Term Care Facilities\t › RULES OF PRACTICE › Article 4 - COST RELATED REIMBURSEMENT SYSTEM › Section 17-311-52 - Computation of per diem reimbursement rates

Current through July 10, 2024
Per 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 upon:
(a) Allowable routine costs related to the
				  provision of patient care as set forth in subchapter 18, part A of title 42 of
				  the U.S. Code, section 1393 et seq. and the regulations promulgated thereunder
				  (hereinafter referred to as medicare statutes and regulations) except as
				  modified by these regulations and the Connecticut state plan approved by the
				  United States department of health and human services.
(b) The allowable salary limits pursuant to
				  the following schedule:
(1) For 1986
Administrators'
Number of Beds
Within Level of
								Care
Base
Add per Bed
Increment
Maximum
Homes for the Aged
								and
Other Community Group
								Homes
1-60
$20,000
92
$25,530
61-120
25,530
101
31,590
121-over
31,590
80
36,465
Rest Home with Nursing
								Supervision
1-30
$20,000
108
$23,253
31-60
23,253
236
30,333
61-120
30,333
110
36,933
112-180
36,933
112
43,653
181-over
43,653
110
50,254
Chronic and Convalescent
								Hospital
and Multi-level
								Facilities
1-60
$21,537
$238
$35,817
61-120
35,817
176
46,379
121-180
46,379
133
54,359
181-over
54,359
112
61,078
Assistant
								Administrators
For facilities of over 99 certified beds, one
								assistant administrator (in addition to the administrator) may be allowed for
								each 100 beds at a salary of up to a maximum of 70% of the allowable salary
								paid to the administrator.
Director of
								Nurses
Number of
								Beds
Base
Add per Bed
Increment
Maximum
1-60
$15,042
$166
$25,002
61-120
25,002
125
32,502
121-180
32,502
93
38,082
181-over
38,082
77
42,733
Dietitions
Number of
								Beds
Code
								Requirements
Rate of Pay
60 and under
8 hours per month
B.S. Degree only
$17.78 per hour
B.S. Degree and
ADA and RD
$19.71-23.71
per hour
61-90
16 hours per month
As Above
91-120
24 hours per month
As Above
121-150
32 hours per month
As Above
151-180
48 hours per month
As Above
181-210
64 hours per month
As Above
211 or more
Full Time Dietitian
As Above
Physicians
$56.52 - $80.91 per hour
All other Professional/Technical
								Personnel Related to the Owner(s)
Salary for full-time work $17,633
(2) The allowable salary limits for ensuing
				  years shall be determined by applying the percentage increase or decrease of
				  the forecasted implicit price deflator for the gross national product for the
				  appropriate period to the allowable salary limits for the preceding cost year,
				  except that commencing with the rate year beginning July 1, 1983 salaries for
				  directors of nursing unrelated to the owner(s) shall no longer be subject to
				  such limitations and commencing with the rate year beginning July 1, 1986
				  salaries for other professional/technical personnel unrelated to the owner(s)
				  shall no longer be subject to such limitations but rather must meet the general
				  standard of being reasonable, necessary and directly related to patient
				  care.
(3) Salaries for proprietors
				  or in the case of non-profit facilities persons who exercise the equivalent of
				  proprietorship or management functions and their relatives who claim to provide
				  some or all of the functions required to operate the facility efficiently shall
				  be supported by timekeeping records and other related documentation. For a
				  proprietor or relative licensed by the Connecticut Department of Health
				  Services as the administrator, compensation shall be allowed in accordance with
				  the allowable administrative salary limits referred in the preceding paragraph.
				  For proprietors or in the case of non-profit facilities persons who exercise
				  the equivalent of proprietorship or management functions and their relatives
				  who are not so licensed, allowable compensation for managerial administrative
				  functions shall be limited to 70% of the allowable salary paid to the
				  administrator. The salary allowed for a proprietor or relative shall not exceed
				  the allowable salary limits based on a 40 hour work week.