Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 17 - Single Cost Accounting System for Payment of Room and Board and Educational Expenses › Section 17a-17-11 - Computation of per diem rate for residential care

Current through July 10, 2024
(a) The
			 calculation of a per diem payment rate for residential care will be based on
			 the approved operational program and the ASCAR; specifically, allowable
			 properly allocated costs for residential care during the past contract period,
			 less revenue allocated to residential care and offsets to allowable residential
			 care costs will provide the net residential care costs which is the basis for
			 computing the per diem payment rate.
(b) Private fees for service income will not
			 be used in ascertaining the per diem rate, unless the days of care are reduced
			 to reflect occupancy of the privately paid for residents.
(c) The net residential care costs shall be
			 updated for the two year period between the year being reported and the year
			 for which the rate is being set as follows:
The first year following the reporting year will be updated by
				applying the legislative increase for the private facilities' portion of the
				Board and Care account for that year. The second year following the reporting
				year will be updated by applying the percentage increase for the private
				facilities' portion of the Board and Care account as promulgated in the
				Governor's budget document.
(d) Other requests for adjustments must be
			 supported by complete documentation; only those adjustments deemed necessary by
			 the department for the provision of residential care will be
			 considered.
(e) Analysis of the
			 ASCAR and other relevant information relating to management, financial and
			 programmatic performance will be considered in the rate adjustment process.
			 Inadequate management, financial and programmatic performance may result in a
			 contract term of less than twelve months.
(f) For treatment centers operating at
			 greater than 95% of residential capacity, during the previous contract year,
			 the per diem payment rate for residential care will be calculated as follows:
The adjusted net residential care cost divided by 95% of the
				approved capacity multiplied by 360.
(g) For treatment centers operating at 90% to
			 95% of residential capacity during the previous contract year, the per diem
			 payment rate for residential care will be calculated as follows:
The adjusted net residential care cost divided by the actual
				number of residential days of care of children served by the treatment center
				during the past contract year equals the per diem payment rate for residential
				care.
(h) For treatment
			 centers operating at less than 90% residential capacity during the previous
			 contract year, the per diem payment rate for residential care will be
			 calculated as follows:
The adjusted net residential care cost divided by the minimum
				number of residential days of care of children served by the treatment center
				during the past contract year equals the per diem payment rate for residential
				care. Minimum number of residential days of care is calculated based on 90% of
				approved residential capacity multiplied by 360.
(i) In no event shall the department pay or
			 reimburse a treatment center for residential care for children under the
			 supervision of the department in an amount exceeding costs charged for similar
			 care for other minors, within the same facility.