Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 230 - Funding Program for Privately Operated Community Residences for Mentally Retarded Persons › Section 17a-230-4 - Per diem services reimbursement

Current through July 10, 2024
(a) Per diem
			 services reimbursement under this section shall be based on the rate
			 established for services under Section 17-313b.
(b) Reimbursement shall be made each month
			 for services rendered the previous month and shall be based upon attendance
			 records submitted by the provider for the previous month. Reimbursement shall
			 be made directly to the private residential facility for clients authorized by
			 the department.
(c) A cash advance
			 shall be paid by the department no later than the fifteenth day of the first
			 month of operation. The advance shall equal thirty days of funding at the rate
			 for services established under Section 17-313b of the General Statutes. It
			 shall be paid for the total number of beds authorized for the private
			 residential facility under Secsection (e) of Section
			 17a-230-2 of
			 the Regulations of Connecticut State Agencies into which authorized clients
			 will be placed. The cash advance payment shall be applied to the amount owing
			 for services for the last month of the private residential facility's
			 operation. If the private residential facility is subsequently certified as a
			 medicaid provider, the cash advance will be collected within one year of such
			 certification. If the private residential facility is subsequently converted,
			 with prior approval of the department, to a residential program which does not
			 require licensure, the cash advance shall be retained by the provider and
			 applied to the amount owed for services for the last month of such residential
			 program's operation.
(d) An
			 authorized client may be absent from the private residential facility up to
			 twenty-eight days a year without affecting reimbursement to the private
			 residential facility. To obtain reimbursement for absenses in excess of
			 twenty-eight days, the private residential facility shall obtain prior approval
			 of the department. Requests shall be submitted in writing to the
			 department.
(e) Reimbursement shall
			 be authorized for the day of admission and not for the day of discharge of a
			 client, except that: in the case of death, and in the case of an admission and
			 discharge on the same date, reimbursement is authorized for one day of care. A
			 day for other purposes shall be the census of the private residential facility
			 taken at midnight.
(f) The
			 department shall reimburse providers pursuant to an annual contract for
			 services. Such contracts may address advance payments, a commitment for a
			 maximum day of service and cash advance for services at the rate established by
			 the department of income maintenance.
(g) The department shall have a contract with
			 each provider which shall include at a minimum:
(1) the number of private residential
			 facilities to be operated by the provider,
(2) the number of clients to be served per
			 private residential facility,
(3)
			 the level of care that shall be provided for each client,
(4) that each client shall have an overall
			 plan of care that shall include the amount, duration and scope of services to
			 be provided, and
(5) the maximum
			 total amount to be paid by the department.