reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 17b - Social Services › 349e - Connecticut Statewide Respite Care Program › Section 17b-349e-9 - Service, payment and cost limitations; fees

Current through July 10, 2024
(a) The department shall determine provider reimbursement and payment levels for the respite care services to be provided under the program. Reimbursement levels for services provided under the program shall not exceed the levels established under the Connecticut Home Care Program for Elders for similar services.
(b) An eligible individual may not receive more than three thousand five hundred dollars ($3,500) for respite care services or receive more than thirty days of out-of-home respite care services, other than adult day care, under the program in any fiscal year. An eligible individual may receive additional respite services not to exceed seven thousand five hundred dollars ($7,500) if the eligible individual has demonstrated to the sponsor agency a need for additional respite care services. A sponsor agency may consider various factors to determine if an eligible individual needs additional respite care services including, but not limited to, whether:
(1) The primary caregiver is experiencing a physical or mental impairment;
(2) the caregiver is not receiving any other respite services;
(3) the client is physically or emotionally abusive to the primary caregiver;
(4) the client is at risk for neglect or abuse; or
(5) the burden of care is significant.
Connecticut Administrative Code › Title 17b - Social Services › 363a - Return of Drug Products to Pharmacies › Section 17b-363a-1 - Return of drug products to pharmacies

Current through July 10, 2024
(a) Any vendor pharmacy that accepts for return drug products dispensed to long-term care facilities, pursuant to section 17b-363a of the Connecticut General Statutes, shall comply with the requirements of this section.
(b) A vendor pharmacy shall not accept for return any drug products that do not meet the criteria for return under section 17b-363a of the Connecticut General Statutes.
(c) A vendor pharmacy shall immediately physically inspect all drug products that are returned by long-term care facilities. Any drug products in original manufacturer's dispensing packages that have been opened, have had doses removed, or show any signs of tampering shall not be returned to stock. Any drug products packaged in unit dose or blister type packaging that appear to have been removed from and returned to the dispensing package, or drug products in such packaging that appears to have been tampered with or the integrity of which appears to be compromised in any way, shall not be returned to stock, except as permitted in subsection (d)(2) of this section.
(d) Except as provided in subsections (b) and (c) of this section, a vendor pharmacy may return to stock for re-dispensing drug products:
(1) packaged in original manufacturer's dispensing packages;
(2) packaged in unit dose or blister type packaging whose individual labeling and integrity remains intact even though doses may have been removed from the outer package; or
(3) originally packaged by the vendor pharmacy into multiple dose blister packaging. Except as otherwise permitted by this subdivision, such drug products shall be removed from the original dispensing package before being placed into pharmacy stock for re-dispensing. This process shall be done in a manner that insures that the lot number and expiration date for the drug product are maintained and that the individual doses of the drug product are not exposed to possible adulteration or cross-contamination. Generically equivalent drug products from more than one drug manufacturer shall not be co-mingled. Removal of the drug product from the original dispensing package prior to re-dispensing shall not be required for packaging from which no doses have been removed and for packaging that allows disassembly without handling the drug product, while maintaining product identification, lot number, and expiration date.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-1 - Definitions

Current through July 10, 2024
As used in sections 17b-411-1 to 17b-411-14, inclusive, of the Regulations of Connecticut State Agencies:
(1) "Applicant" has the same meaning as provided in section 17b-400 of the Connecticut General Statutes;
(2) "Commissioner" means the Commissioner of the Department on Aging or of any other state agency responsible for hosting the Long-Term Care Ombudsman's Office;
(3) "Complaint" means an oral or written statement made to or initiated by the program, by or on behalf of a resident or applicant alleging or tending to allege circumstances, conduct, action, lack of action, instances or decisions by or relating to providers, public agencies, health and social service agencies or others that adversely affect the health, safety, welfare or rights of a long-term care facility resident;
(4) "Conflict of interest" means circumstances in which other interests intrude upon, interfere with or threaten to negate the ability of the Long-Term Care Ombudsman Program to advocate without compromise on behalf of long-term care facility residents;
(5) "Department" means the state Department on Aging;
(6) "Executive Board" means the Executive Board of the Statewide Coalition of Presidents of Resident Councils established pursuant to section 17b-411-7 of the Regulations of Connecticut State Agencies;
(7) "Host agency" means the Department on Aging or any other state agency that statutorily houses the Office of the Long-Term Care Ombudsman;
(8) "Long-term care facility" has the same meaning as provided in section 17b-400 of the Connecticut General Statutes;
(9) "Office" has the same meaning as provided in section 17b-400 of the Connecticut General Statutes;
(10) "Program" has the same meaning as provided in section 17b-400 of the Connecticut General Statutes, unless the context otherwise requires;
(11) "Provider" means an entity or person who provides goods or services to residents, and includes those who own, operate or work for long-term care facilities and their agents, employees, representatives and contractors;
(12) "Resident" has the same meaning as provided in section 17b-400 of the Connecticut General Statutes, and includes a person who seeks admission to a long-term care facility;
(13) "Regional Ombudsman" means a person duly designated by the State Long-Term Care Ombudsman to represent and act on behalf of the program in regions established throughout Connecticut;
(14) "State Long-Term Care Ombudsman" or "State Ombudsman" means the individual appointed by the commissioner; and
(15) "Volunteer Resident Advocate" or "VRA" means any person duly designated by the State Ombudsman and trained by the program to serve as an advocate for residents through the VRA's association with, and on behalf of, the Long-Term Care Ombudsman program.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-2 - Duties of Host Agency

Current through July 10, 2024
The commissioner of the host agency, or the commissioner's designee, shall perform the following duties:
(1) Appoint the State Ombudsman, based on the requirements of section 17b-400 of the Connecticut General Statutes and section 17b-411-3(c) of the Regulations of Connecticut State Agencies, to serve on a full-time basis;
(2) ensure that policies and procedures governing the program are established by the office;
(3) ensure that representatives of the office have access, in accordance with section 17b-411-9 of the Regulations of Connecticut State Agencies to the following:
(A) Long-term care facilities and residents;
(B) administrative records, policies and documents of long-term care facilities available to the general public;
(C) appropriate access to medical and social records of residents; and
(D) licensing and certification records of long-term care facilities maintained by the state;
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-3 - Long-Term Care Ombudsman Program. State Ombudsman Qualifications. Regional Ombudsman Qualifications. Volunteer Resident Advocates, Qualifications and Duties

Current through July 10, 2024
(a) The long-term care ombudsman program, established pursuant to section 17b-400 of the Connecticut General Statutes, shall be known as the "Office of the Long-Term Care Ombudsman." The Office of the Long-Term Care Ombudsman shall be an independent office free from conflict of interest as set forth in section 17b-411-13 of the Regulations of Connecticut State Agencies. The position taken by the State Ombudsman on issues affecting residents shall not be dictated or compromised by policies and positions held by the state administration, the host agency of the Office of the Long-Term Care Ombudsman or any other agency of the state. The Office of the Long-Term Care Ombudsman shall consist of the State Ombudsman, nine Regional Ombudsmen and Volunteer Resident Advocates.
(b) In the event the State Ombudsman is unable to fulfill the duties of the office, the commissioner shall appoint an Acting State Ombudsman. The Acting State Ombudsman shall meet the requirements of subsection (c) of this section.
(c)
State Ombudsman. Qualifications
. The State Ombudsman appointed by the commissioner shall:
(1) Be free of conflicts of interest as defined in section 17b-411-13 of the Regulations of Connecticut State Agencies;
(2) possess a minimum of a bachelor's degree;
(3) possess a minimum of 8 years of experience and expertise involving long-term care and advocacy concerning social, human services or community service programs for the elderly and disabled; and
(4) possess knowledge and experience in the following areas:
(A) Management principles and techniques;
(B) relevant state and federal laws;
(C) relevant department policies and procedures;
(D) resident care and long-term care facility operations;
(E) the problems of the elderly and disabled in long-term care facilities;
(F) community resources available to the elderly;
(G) interpersonal skills;
(H) oral and written communication skills;
(I) ability to perform program planning, development, administration and evaluation;
(J) experience working with volunteers; and
(K) experience with dispute resolution, investigation, mediation, negotiation, problem solving or training in dispute resolution.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-5 - Regional Ombudsmen. Duties and Responsibilities

Current through July 10, 2024
Regional Ombudsmen shall perform the following duties:
(1) Identify, investigate, resolve or attempt to resolve complaints made by or on behalf of residents that relate to actions, inactions or decisions that may adversely affect the health, safety, welfare or rights of residents. Regional Ombudsmen shall inform the complainant, the resident or the resident's legal representatives of the findings of an investigation or the reasons why a complaint cannot be investigated;
(2) provide services to protect the health, safety, welfare and rights of long-term care facility residents, including, but not limited to:
(A) Information and referral services;
(B) assistance to residents to locate and retain legal representation in those cases in which the problem appears, in the judgment of a Regional Ombudsman or State Ombudsman, to require legal action or when the resident explicitly requests assistance in retaining legal counsel or representation. Such legal counsel shall be at the resident's expense; and
(C) education and training for residents, their family members, staff of long-term care facilities and the public;
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-6 - Volunteer Resident Advocate Duties and Responsibilities

Current through July 10, 2024
The Volunteer Resident Advocates shall be responsible for the following:
(1) Informing residents of their rights and advocating on their behalf;
(2) aiding to ensure the residents are satisfied with the care and services provided by the long-term care facility;
(3) assisting Regional Ombudsmen in carrying out the policies and procedures of the Long-Term Care Ombudsman program in the region or long-term care facility in which the VRA is assigned to serve;
(4) assisting Regional Ombudsmen, and possibly the State Ombudsman, with the evaluation, investigation and resolution of certain complaints which are determined to require such joint action;
(5) reporting, in writing, to the Regional Ombudsman any complaints received and actions taken by the VRA;
(6) when a complaint can be acted on by the VRA in the long-term care facility, the VRA may take action at the direction of Regional Ombudsmen or the State Ombudsman;
(7) at the resident's request, acting as a liaison between the long-term care facility administrator, other staff, friends or family;
(8) aiding and assisting residents in ensuring that residents are satisfied with the management of their financial affairs including, but not limited to, informing them of their rights regarding knowledge of and control of their assets; and
(9) completing a minimum of 12 hours of in-service training each calendar year in accordance with section 17b-411-8 of the Regulations of Connecticut State Agencies.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-7 - Executive Board

Current through July 10, 2024
(a) There shall be an Executive Board of the Statewide Coalition of Presidents of Resident Councils. The Executive Board shall advocate for quality of care and services for Connecticut long-term care facility residents.
(b) The Executive Board shall consist of a maximum of nine members, comprised of three members from each of the three Long-Term Care Ombudsman Program regions. The Executive Board members shall be appointed as provided in the Executive Board's bylaws.
(c) The Executive Board shall have the authority to establish and amend bylaws.
(d) The Executive Board shall make recommendations to the State Ombudsman regarding legislative issues, policy issues and quality of care concerns affecting individuals, or groups of individuals, residing in long-term care facilities.
(e) The State Ombudsman may request that the Executive Board make recommendations or advise the State Ombudsman on issues brought to the attention of the Executive Board. The Executive Board's recommendations shall be taken into consideration by the State Ombudsman, but the Executive Board's recommendations shall not be binding. Any final decision shall be that of the State Ombudsman.
(f) The State Ombudsman or the State Ombudsman's designee shall assist to facilitate meetings of the Executive Board, to be held at least quarterly, and provide administrative support to the Executive Board.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-8 - Volunteer Resident Advocate Certification and Training Program

Current through July 10, 2024
(a) Every person who acts as a VRA is required to complete 28 hours of initial training, consisting of a curriculum developed and coordinated by the State Ombudsman, followed by a minimum of 12 hours per calendar year of in-service training, in addition to an annual training required for all VRAs. The annual training shall be developed and coordinated by the Long-Term Care Ombudsman Program.
(b) In-service training topics shall be related to issues affecting long-term care residents.
(c) VRAs may meet the in-service training requirement by attending trainings sponsored by the Office of the Long-Term Care Ombudsman or sponsored by other organizations so long as the training topic is related to issues affecting long-term care residents and the VRA obtains prior approval from the State Ombudsman. Trainings may be led by an instructor or web-based.
(d) The specific content of the initial certification training course shall include, but is not limited to, the following topics:
(1) Resident's rights;
(2) Resident Councils and Family Councils;
(3) resident care plans;
(4) federal, state and local laws, regulations and policy affecting long-term care facility residents, their rights, and the Long-Term Care Ombudsman Program;
(5) oversight agencies, licensure and certification;
(6) legal issues, including but not limited to, conservatorship, power of attorney, and advanced directives;
(7) aging process: physical and mental health;
(8) types of facilities and levels of care;
(9) resident complaints, investigative techniques, complaint resolution techniques and conflict issues;
(10) admission issues, contracts and payer issues;
(11) facility grievance policies and procedures;
(12) systems advocacy, legislation and policy making;
(13) state and federal deficiency ratings and consumer reports; and
(14) the Long-Term Care Ombudsman program's policies and procedures.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-9 - Access to Facilities, Residents and Resident Records

Current through July 10, 2024
(a)
Access to the Facility and Residents
. The State Ombudsman or the State Ombudsman's designee shall have access to long-term care facilities and residents at any time deemed reasonable and necessary to effectively carry out the duties of the Long-Term Care Ombudsman program as set forth in federal law and sections 17b-411-1 through 17b-411-14, inclusive, of the Regulations of Connecticut State Agencies.
(1) Access to long-term care facilities and residents shall be deemed reasonable and necessary at the following times:
(A) Anytime during a facility's regular business hours; or
(B) any other time access may be required by a particular condition to be investigated or monitored and the visit is approved by the State Ombudsman or the State Ombudsman's designee.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-10 - Confidentiality and Disclosure

Current through July 10, 2024
(a) For purposes of this section, the terms "records" or "files" mean all documentation including, but not limited to, complaints, reports, findings, medical and social records of residents or information accessed or collected to conduct an investigation of a complaint.
(b)
Maintenance of Records
. The Long-Term Care Ombudsman Program records shall be maintained in a secure location to ensure confidentiality. Measures shall be implemented by the host agency and the local ombudsman entity to ensure the privacy of Regional Ombudsmen and the State Ombudsman with respect to the receipt of complaints by mail, fax or telephone.
(c)
Confidentiality
. All records and files maintained by the Long-Term Care Ombudsman Program shall remain confidential, unless otherwise provided under state or federal law.
(d)
Disclosure
. Subject to subsection (e) of this section, records maintained by the Long-term care ombudsman program may not be disclosed to any individual or entity unless the State Ombudsman authorizes the disclosure. The State Ombudsman or the person designated by the State Ombudsman may, at their discretion, disclose information to other persons or agencies when the Ombudsman determines that such release is in the best interest of the resident or resident population.
(e) The State Ombudsman, or any representative of the Long-Term Care Ombudsman Program, shall not release the identity of a complainant or a resident, either by name or by release of sufficient facts to allow the identity of the complainant or resident to be inferred, unless:
(1) The complainant or resident, or the legal representative of the complainant or resident, consents to the disclosure in writing; or
(2) a court orders the disclosure in the course of a legal proceeding.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-11 - Complaints

Current through July 10, 2024
(a) The Long-Term Care Ombudsman's Office shall identify, investigate and resolve complaints made by, or on behalf of, residents that relate to an action, inaction or a decision of a provider, long-term care facility, a public agency or a health and social service agency, that may adversely affect the health, safety, welfare or rights of residents.
(b)
Content of Complaint
. Any complaint filed with the Long-Term Care Ombudsman's Office pursuant to sections 17b-411-1 to 17b-411-14, inclusive, of the Regulations of Connecticut State Agencies, shall contain the name and address of the long-term care facility, the name of the involved resident or residents or the statement that all the residents are affected, information regarding the nature and extent of the complaint and any other information which the reporter believes might be helpful in the investigation of the complaint.
(c)
Method of Filing Complaints.
(1) A complaint may be filed with the Long-Term Care Ombudsman's Office or the VRA assigned to the resident's facility in person, by mail, facsimile, electronic mail or by telephone.
(2) For information or for filing of complaints with the State Ombudsman, persons may contact the Long-Term Care Ombudsman's Office. A toll free number shall be available and the number shall be conspicuously posted in each facility.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-12 - Investigation of Complaints

Current through July 10, 2024
(a)
Initial Evaluation of Complaints.
(1) Upon receipt of a complaint by a representative of the Long-Term Care Ombudsman's Office, the complaint shall be evaluated within two working days by either the VRA or a Regional Ombudsman to determine whether there are reasonable grounds for an investigation. If there is reason to believe, based on the information contained in the complaint received, that the resident is potentially at risk for immediate physical or emotional harm the evaluation shall be done immediately. Examples of immediate risk of physical or emotional harm include, but are not limited to, allegations of physical endangerment or withholding of medication, nutrition or hydration. In cases where the complaint is received directly by the State Ombudsman or there is a question regarding whether the resident is potentially at risk for immediate physical or emotional harm, the evaluation may be done by the State Ombudsman.
(2) If such reasonable grounds are found, a representative of the Long-Term Care Ombudsman's Office shall initiate a full investigation of the complaint within ten business days after the determination is made that an investigation is warranted. A copy of the investigation report shall be sent to the State Ombudsman who shall maintain a registry of investigation reports. A copy of the investigation report may be sent to the resident or the resident's legal representative upon request. The State Ombudsman shall not disclose the identity or identifying information regarding another resident or the complainant if the complainant is someone other than the resident.
(3) If it is determined that reasonable grounds do not exist for an investigation, the complainant shall be notified of this determination within five business days after receipt of the complaint. The notification shall include a brief explanation of the reasons upon which the Long-Term Care Ombudsman's representative concluded that an investigation was not warranted.
(4) If it is determined that reasonable grounds do exist, and an investigation is completed and the Long-Term Care Ombudsman's Office has taken actions to attempt to resolve the complaint, but the complaint is not resolved to the satisfaction of the resident, the State Ombudsman may, with the authorization of the resident, request the advice or recommendations of the Executive Board. The State Ombudsman may, considering the advice or recommendations of the Executive Board, take any recommended actions or close the case. The State Ombudsman shall provide, upon request, a written explanation to the individual regarding the decision to close a case.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-13 - Conflict of Interest

Current through July 10, 2024
(a)
Matters of Discipline, Suspension or Termination
. Pursuant to section 17b-400(c) of the Connecticut General Statutes, the State Ombudsman and Regional Ombudsmen are classified service positions. Matters of discipline, suspension or termination of the State Ombudsman or Regional Ombudsmen by the host agency shall be governed by state laws that apply to such classified service positions.
(b)
State Ombudsman
. Any individual who has the following conflicts of interest, or any individual who has an immediate family member with the following conflicts of interest, shall not be appointed as the State Ombudsman:
(1) Direct involvement in the licensing or certification of long-term care facilities or a provider of long-term care services;
(2) ownership or investment interest in a long-term care facility or a long-term care service;
(3) employed by, or participating in the management of, a long-term care facility;
(4) receives, or has the right to receive, directly or indirectly, remuneration under a compensation arrangement with an owner or operator of a long-term care facility; or
(5) membership in a trade association for long-term care facilities.
Connecticut Administrative Code › Title 17b - Social Services › 411 - Office of the State Long-Term Care Ombudsman › Section 17b-411-14 - Legal Representation

Current through July 10, 2024
The host agency shall ensure that adequate legal counsel is available, and is able, without conflict of interest, to:
(1) Provide advice and consultation needed to protect the health, safety, welfare and rights of residents;
(2) pursue administrative, legal and other remedies on behalf of residents;
(3) assist representatives of the Office of the Long-term Care Ombudsman in the performance of their duties; and
(4) provide legal representation to any representative of the Office of the Long-term Care Ombudsman, including the ombudsmen, against whom legal action is threatened or brought in connection with performance of their duties.
Connecticut Administrative Code › Title 17b - Social Services › 423 - Title III of the Older Americans Act › Section 17b-423-2 - Community services policy manual-area agency designation

Current through July 10, 2024
(a)
Designation of Planning and Service Areas
(1) General
The Department is responsible for dividing the State into five planning and service areas (PSAs), in accordance with guidelines issued by the assistant secretary.
The area agency on aging shall provide assurances of compliance with the Older Americans Act as required.
(2) Application for Designation
The Department provides an opportunity to apply for designation as a planning and service area to any unit of general purpose local government, region, metropolitan area, or Indian reservation(s). The application on behalf of an Indian reservation(s) shall be made by the governing tribal organization(s).
(3) Periodic Review
The Department shall periodically examine planning and service areas and make modifications as needed.
(4) Decision
The Department documents the basis for it designation of each planning and service area.
Connecticut Administrative Code › Title 17b - Social Services › 423 - Title III of the Older Americans Act › Section 17b-423-3 - Community services policy manual-general application and procedures and policies

Current through July 10, 2024
(a)
Purpose of Section
This Section sets forth the general policies and procedures governing the application process for obtaining Title III-B and C funds and the general policies which affect program grantees.
(b)
Award of Older American Act Funds Administered by the Department
(1) Eligible Organizations
The Department may award Older Americans Act funds to an eligible public or private nonprofit agency, organization, institution, political subdivision of the State or an official Indian tribal organization.
(2) Conditions of Awarding Title III Fund
The Department shall award Title III funds in a designated planning and service area only to an Area Agency on Aging to develop and administer an area plan on aging. No Title III funds shall be awarded directly by the Department to any other agency within a PSA when a designated Area Agency on Aging exists, unless the Area Agency on Aging has been temporarily suspended from administering Older Americans Act programs. The designated Area Agency on Aging shall carry out, directly or through contractual or other arrangements, a program pursuant to an approved area plan within the PSA.
Connecticut Administrative Code › Title 17b - Social Services › 423 - Title III of the Older Americans Act › Section 17b-423-4 - Community services policy manual-general area agency responsibilities

Current through July 10, 2024
(a)
Responsibilities of the Area Agency on Aging
(1) Staffing
An Area Agency on Aging shall be responsible for recruiting and employing adequate numbers of staff members to develop and administer its area plan, and to carry out the functions and responsibilities prescribed by the Older Americans Act, Title III regulations and this Manual. The Area Agency on Aging shall develop and implement a staffing plan consistent with Federal and State requirements and the standards listed herein:
(A) The Area Agency on Aging shall be headed by a director qualified by education and experience to administer the areawide program, who shall be hired in conformance with the job description promulgated in the approved area plan. The director shall devote full-time solely to activities which benefit the aging population.
(B) No Area Agency on Aging shall be allowed to operate without a director for an extended period of time.
(i) In the absence of an Area Agency on Aging director, an acting director shall be designated within one week.
(ii) An Area Agency on Aging may not operate under the leadership of an acting director for more than 90 days, or it shall be subject to suspension or termination. In the case of maternity or extended medical leave, the Area Agency on Aging has the option of extending the 90 day limit with the Department's approval.
(iii) The Area Agency on Aging shall employ:
Adequate numbers of staff (including members of minority groups), qualified by experience and training, assigned full or part-time to Title III activities; and
Persons knowledgeable-through education and/or experience-in the program area for which they will be responsible (planning, administration, coordination, program activities, etc.).
(iv) All other factors being equal, the Area Agency on Aging shall give preference to persons aged sixty or over for any full-time or part-time positions for which such persons qualify-subject to any merit system requirements.
(v) The Area Agency on Aging may contract for the performance of certain functions and responsibilities, but such contractual arrangements shall not be utilized as a substitute for adequate staffing. Prior written approval of the Department is required for such contractual arrangements.
(vi) The Area Agency on Aging may not discriminate against any qualified person with a disability as defined by the ADA who is seeking employment.
(vii) An Affirmative Action Statement shall be submitted to the Department by each Area Agency in a manner prescribed by the Department.
Connecticut Administrative Code › Title 17b - Social Services › 423 - Title III of the Older Americans Act › Section 17b-423-5 - Community services policy manual - Title III-C nutrition services

Current through July 10, 2024
(a)
Purpose
An Area Agency on Aging shall award nutrition service funds received under Title III of the Older Americans Act to provide meals, nutrition screening and nutrition education, to older persons. In addition, these funds may be used to provide outreach, nutrition assessment, nutrition counseling, and other related services to older persons. In making these awards, the Area Agency on Aging shall assure that based on an assessment of need by the Area Agency on Aging and nutrition service providers, congregate meals, home delivered meals, nutrition screening and nutrition education are all provided in the PSA. The Area Agency on Aging shall develop a formula providing for equitable distribution of nutrition funds throughout the PSA.
(b)
Selection of Nutrition providers
(1) General Rule
An Area Agency on Aging may make awards for congregate meals, home delivered meals, nutrition education, nutrition screening, nutrition assessment and counseling, and related nutritional services to a provider or providers that furnish any or all types of services. Such a provider shall meet the requirements of this section.
(2) Process for Selecting Nutrition providers
(A) Area Agency on Aging Award Process
An Area Agency on Aging shall award nutrition funds through a competitive grant or contract process.
Whenever there is no evidence of improved quality of services or cost effectiveness on the part of another bidder, an existing provider of services who receives funds under Title III of the Older Americans Act of 1965 as amended shall be given preference.
An Area Agency on Aging shall award Title III, Part C funds to organizations which are able to provide nutritional services efficiently and reasonably.
(B) Assurances of Maintenance of Effort and Non-Supplanting of Funds
The Area Agency on Aging shall have furnished assurances to maintain efforts to solicit voluntary support and not to use funds received under this part to supplant funds from non-Federal sources.
Connecticut Administrative Code › Title 17b - Social Services › 423 - Title III of the Older Americans Act › Section 17b-423-6 - Community services policy manual-title III-D/In-home services

Current through July 10, 2024
(a)
Purpose
An Area Agency on Aging shall award funds received under Title III-D of the older Americans Act to provide in-home services to frail older individuals, including in-home supportive services for older individuals who are victims of Alzheimer's disease and related disorders with neurological and organic brain dysfunction, and to families of such victims.
(b)
Coordination
In carrying out the provisions of Title III-D, the Area Agency on Aging shall coordinate with other community agencies and voluntary organizations providing counseling and training for family caregivers and support services personnel in management of care, functional and needs assessment services, assistance with locating, arranging for, and coordinating services, case management, and counseling prior to admission to nursing home to prevent premature institutionalization.
(c)
Eligibility Criteria
An Area Agency on Aging shall award Title III-D funds to provide in-home services to clients who meet at least two of the four following eligibility criteria, or to the families of such clients:
(1) Are age 75 or older.
(2) Are in greatest economic need.
(3) Have non-economic factors contributing to their frail condition. This is defined as having one or more functional limitations in their activities of daily living (ADLs), or being diagnosed as having an Alzheimer's related dementia.
(4) Have non-economic and nonhealth factors contributing to the need of such services.
Connecticut Administrative Code › Title 17b - Social Services › 423 - Title III of the Older Americans Act › Section 17b-423-7 - Disease Prevention and Health Promotion Services

Current through July 10, 2024
(a)
Purpose
An Area Agency on Aging shall award funds received under Title IIIF of the Older Americans Act to provide disease prevention and health promotion services, and information at multipurpose senior centers, at congregate meal sites, through home delivered meals programs, or at other appropriate sites.
(b)
Distribution
The state agency shall give priority, in carrying out the provisions of Title IIIF to areas of the state which are (1) medically underserved; and (2) in which there are a large number of older individuals who have the greatest economic need for such services.
(c)
Definition
In carrying out the provisions of Title IIIF, the term "disease prevention and health promotion services" means -
(1) Health risk assessments;
(2) Routine health screening, which may include hypertension, glaucoma, cholesterol, cancer, vision, hearing, diabetes, and nutrition screening;
(3) Nutritional counseling and educational services for individuals and their primary caregivers;
(4) Health promotion programs, including programs relating to chronic disabling conditions (including osteoporosis and cardiovascular disease) prevention and reduction of effects, alcohol and substance abuse reduction, smoking cessation, weight loss and control, and stress management;
(5) Programs regarding physical fitness, group exercise, and music, art, and dance-movement therapy, including programs for multigenerational participation that are provided by an institution of higher education; a local educational agency, as defined in section 1471 of the elementary and secondary education act of 1965 ( 20 U.S.C. 2891 ); or a community-based organization;
(6) Home injury control services, including screening of high-risk home environments and provision of educational programs on injury prevention (including fall and fracture prevention) in the home environment;
(7) Screening for the prevention of depression, coordination of community mental health services, provision of education activities, and referral to psychiatric and psychological services;
(8) Educational programs on the availability, benefits, and appropriate use of preventive health services covered under Title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq.);
(9) Medication Management screening and education to prevent incorrect medication and adverse drug reactions;
(10) Information concerning diagnosis, prevention, treatment, and rehabilitation of age-related diseases and chronic disabling conditions, including osteoporosis, cardiovascular diseases, and alzheimer's disease and related disorders with neurological and organic brain dysfunction;
(11) Gerontological counseling; and
(12) Counseling regarding social services and follow up health services based on any of the services described above.
Connecticut Administrative Code › Title 17b - Social Services › 423 - Title III of the Older Americans Act › Section 17b-423-19 - Community services policy manual - index

Current through July 10, 2024
Sec. 17b-423-1. Introduction
(a) Definitions
(b) Purpose of Manual
(c) Scope and Organization
Section 17b-423-1: Introduction
Section 17b-423-2: Area Agency Designation
Section 17b-423-3: Application Procedures and General Policies
Section 17b-423-4: General Area Agency Responsibilities/Title III-B Operations
Section 17b-423-5: Title III-C Operations
Section 17b-423-6: Title III-D Operations
Section 17b-423-7: Title III-F Operations
Section 17b-423-19: Index
(d) The Title III Program
Sec. 17b-423-2. Area agency designation
(a) Designation of Planning and Service Areas
(1) General
(2) Application for Designation
(3) Periodic Review
(4) Decision
Connecticut Administrative Code › Title 17b - Social Services › 461 - Protective Services for the Elderly › Section 17b-461-1 - Definitions

Current through July 10, 2024
For purposes of sections 17b-461-1 through 17b-461-9
(a) "Abandonment" means the desertion or wilful forsaking of an elderly person by a caretaker, or the foregoing of duties, the withdrawal or neglect of duties and obligations owed an elderly person by a caretaker or other person.
(b) "Abuse" includes, but is not limited to, the wilful infliction of physical pain, injury or mental anguish, or the wilful deprivation by a caretaker of services which are necessary to maintain physical and mental health.
(c) "Capacity to consent" means the ability to understand, make and communicate responsible decisions concerning one's own person.
(d) "Caretaker" means"caretaker" as defined in Section 17b-450 of the Connecticut General Statutes.
(e) "Commissioner" means the Commissioner of Social Services.
(f) "Department" means the Department of Social Services.
(g) "Elderly person" means any resident of Connecticut who is sixty years of age or older.
(h) "Exploitation" means advantage taken of an elderly person by another person or caretaker whether for monetary, personal, or other benefit, gain or profit.
(i) "Neglect" means "neglect" as defined in section 17b-450 of the Connecticut General Statutes.
(j) "Protective Services" means the provision, by the state or other governmental or private organizations or individuals, of services necessary to prevent abuse, neglect, exploitation or abandonment.
(k) "Report" means a complaint received by the Commissioner or his designee which presents reasonable cause to believe that an elderly person is being or has been abused, neglected exploited or abandoned.
(l) "Reasonable cause" means sufficiently substantiated allegations of an elderly person's physical, mental, emotional or financial condition, and of the action or inaction of any other person(s) with regard thereto establishing a basis for suspicion or belief that the elderly person is being or has been abused, neglected, exploited or abandoned.
(m) The term "services which are necessary to maintain physical and mental health" includes, but is not limited to, the provision of medical care for physical and mental health needs, the relocation of any elderly person to a facility or institution able to offer such care, assistance in personal hygiene, food, clothing, adequately heated and ventilated shelter, protection from health and safety hazards, protection from maltreatment the result of which includes, but is not limited to, malnutrition, deprivation of necessities or physical punishment, and transportation necessary to secure any of the above stated needs, except that this term shall not include taking such person into custody without consent except as provided in Sections 17b-450 to 17b-461, inclusive, of the Connecticut General Statutes.
Connecticut Administrative Code › Title 17b - Social Services › 461 - Protective Services for the Elderly › Section 17b-461-2 - Reporting suspected cases of abuse, neglect, exploitation or abandonment of elderly persons

Current through July 10, 2024
(a) Persons required by law to report instances of abuse, neglect, exploitation or abandonment of an elderly person shall report such information within five calendar days to the Commissioner or to the Commissioner's designee.
(1) Persons required to make such reports are any physician or surgeon licensed under the provisions of Chapter 370 or 371 of the Connecticut General Statutes, any resident physician or intern in any hospital in this state, whether or not so licensed, any registered nurse, any nursing home administrator, nurse's aide or orderly in a nursing home facility, any person paid for caring for a patient in a nursing home facility, any staff person employed by a nursing home facility, any patient's advocate and any licensed practical nurse, medical examiner, dentist, osteopath, optometrist, chiropractor, podiatrist, social worker, clergyperson, police officer, pharmacist or physical therapist, who has reasonable cause to suspect or believe that any elderly person has been abused, neglected, exploited or abandoned or is in a condition which is the result of such abuse, neglect, exploitation or abandonment, or who is in need of protective services, shall within five calendar days report such information or cause a report to be made in any reasonable manner to the Commissioner or to the person or persons designated by him to receive such reports. Any person required to report under the provisions of this section who fails to make such report shall be fined not more than five hundred dollars.
(2) This report shall include the name and address of the elderly persons, description of the abuse, neglect, exploitation or abandonment being reported, as well as any other information which the person making the report believes may be helpful in the investigation of the case or the protection of the victim.
Connecticut Administrative Code › Title 17b - Social Services › 461 - Protective Services for the Elderly › Section 17b-461-3 - Reporting requirements

Current through July 10, 2024
(a) Reports of suspected abuse, neglect, exploitation or abandonment shall be received:
(1) At the regional offices of the department during the usual and customary business hours of the Department or
(2) During nonbusiness hours, at such telephone numbers as the department may designate and appropriately publicize.
Connecticut Administrative Code › Title 17b - Social Services › 461 - Protective Services for the Elderly › Section 17b-461-4 - Evaluation of report

Current through July 10, 2024
(a) Each report received shall be promptly and thoroughly evaluated, as follows:
(1) The department, or such other appropriate person(s) or agency as may be requested and available to assist in the evaluation, shall visit the elderly person, unless the elderly person or his caretaker denies access for such a visit;
(2) The department, or such other person(s) or agency as may be requested and available to assist in the evaluation, shall consult with such others as may have additional knowledge of the particular circumstances or needed expertise in regard thereto.
Connecticut Administrative Code › Title 17b - Social Services › 461 - Protective Services for the Elderly › Section 17b-461-5 - Findings, referrals, registry and confidentiality

Current through July 10, 2024
(a) If upon completion of the evaluation of a report the department determines that protective services are needed and, if the elderly person consents, the department shall arrange for protective services.
(b) If upon completion of the evaluation of a report the department determines that protective services are needed but the elderly person fails to consent thereto, and the department has reason to believe that such person is incapable of managing his personal or financial affairs, the department shall determine the appropriateness of establishing a conservatorship for such person.
(c) If the department determines that no protective services are needed, the department may:
(1) Take such steps, including contacting any other agencies, organizations or individuals as may be appropriate, to assure the resolution of the reported situation; and/or
(2) Close the case.
Connecticut Administrative Code › Title 17b - Social Services › 461 - Protective Services for the Elderly › Section 17b-461-6 - Procedures on referrals

Current through July 10, 2024
(a) Upon receipt of a report, the Department shall initiate activities for the provision of appropriate services.
(b) If the elderly person refuses services offered by the Department the case shall be closed unless the department has reason to believe that such elderly person is incapable of managing his personal or financial affairs. In such case, the department shall provide protective services to the extent possible and may apply to probate court for the appointment of a conservator of person or estate, as appropriate.