Connecticut Administrative Code › Title 27 - Armed Forces and Veterans › 102ld - Administration, Programs, and Patient Rights and Obligations › Article VI - PAYMENT FOR SERVICES AND CARE › Part A - General › Section 27-102l(d)-251 - Definitions

Current through July 10, 2024
The following definitions apply to veteran billing and
					 payments as described in Section
					 27-102
l
(d)-250 through Section
					 27-102
l
(d)-299 of the Regulations of Connecticut State Agencies,
					 unless expressly provided otherwise.
(a) "Ability to manage financial affairs" is
				  the mental and physical capacity of a veteran to receive, to deposit, and to
				  order payment of obligations incurred and handle cash.
(b) "Ability to pay" is an amount determined
				  by the Commissioner that the veteran has available or can make available for
				  the purpose of paying for services received from the Department and which sets
				  the minimum payment due when the Department presents its monthly billing
				  statement.
(c) "Asset disregard" is
				  the level of assets that is excluded from the calculation of the ability to
				  pay.
(d) "Community spouse
				  allowance" means an income disregard, in addition to his personal need
				  allowance, which a veteran may claim, if legally married, and thereby cause the
				  computation of his ability to pay to be reduced by the lesser of the amount he
				  actually pays to a spouse living in the community or the maximum disregard set
				  in Section
				  27-102
l
(d)-257 of the Regulations of Connecticut State
				  Agencies.
(e) "Countable assets"
				  shall be all assets not excluded.
(f) "Excluded asset" is an asset
				  categorically excluded from the computation and determination of the ability to
				  pay.
(g) "Excluded income" is
				  income categorically excluded from computation of the ability to pay.
(h) "Income disregard" is the level of income
				  that is excluded from the calculation of the ability to pay, based on the sum
				  of personal needs allowance, community spouse allowance, child support, and
				  alimony payments.
(i) "Delinquent
				  accounts receivable" means the cumulative dollar amount of all charges for any
				  services rendered without regard to the determination of the ability to pay
				  less amounts credited to that veteran's account and less amounts billed as a
				  minimum payment due, but not past due. The delinquent accounts receivable
				  becomes payable at such time the Department determines that the responsible
				  party is able to pay or after the death of the veteran from his
				  estate.
(j) "Minimum payment due
				  now" means a specific dollar amount which the Commissioner demands that the
				  veteran immediately pay over to the department based on the Commissioner's
				  determination of the veteran's ability to pay.
(k) "Monthly billing statement" is a notice
				  to the veteran of the minimum payment due now and a demand for payment in a
				  specific amount which the veteran is required to pay over to the Department
				  immediately to maintain an account in good standing.
(l) "Veteran billing system" is the
				  information system that the Department uses for the computing, invoicing,
				  billing, collecting and crediting accounts for each veteran participating in a
				  program, activity or service for which the Department charges or receives
				  payment form the participants and others.
(m) "Past due amount" is the cumulative total
				  of the minimum payment due now, minus payment received by the Department from
				  the veteran.
(n) "Veteran invoice"
				  is a monthly report of days of care rendered to a veteran during the month,
				  multiplied by the applicable fee or per diem. The veteran invoice shall also
				  include any fees for any other services rendered to the veteran.
(o) "Personal needs allowance" means an
				  income disregard which the Commissioner may not use in the computation of the
				  ability to pay and which the veteran may retain from his income for personal
				  use during the month received without restriction.
(p) "Personal representative" is any person
				  representing the veteran in his financial affairs, including persons holding a
				  valid power of attorney, attorney-in-fact, spouse, or other person in
				  possession of the veteran's estate and serving in a fiduciary
				  capacity.
(q) "Statement of
				  account" is an ongoing detailed listing of:
(1) The cumulative delinquent accounts
				  receivable,
(2) Amounts charged for
				  services rendered during all periods of admission, care or treatment,
(3) Amounts credited during all periods of
				  admission, care, treatment and thereafter, and
(4) Any amounts due and owing to the
				  Department.