reglab/statecodes huggingface dataset:
Connecticut Administrative Code › Title 16a - Planning and Energy Policy › 48 - Procedures for Establishing Energy Efficiency Standards for Certain Appliances and Products › Section 16a-48-2 - Scope

Current through July 10, 2024
These provisions apply to the following types of new products
				that are sold, offered for sale or installed in Connecticut: commercial clothes
				washers; commercial refrigerators and freezers; illuminated exit signs; large
				packaged air-conditioning equipment; low-voltage dry-type transformers;
				torchiere lighting fixtures; traffic signal modules; unit heaters, residential
				furnaces and boilers; residential pool pumps; metal halide lamp fixtures;
				single voltage external AC to DC power supplies; state regulated incandescent
				reflector lamps; bottle-type water dispensers; commercial hot food holding
				cabinets; portable electric spas; walk-in refrigerators and walk-in freezers;
				and pool heaters. Each provision applies only to units sold, offered for sale
				or installed on or after the effective date of the provision. These provisions
				do not include those products sold wholesale in Connecticut for final retail
				sale or installation outside the state, those installed in mobile manufactured
				homes at the time of construction, and those designed expressly for
				installation and use in recreational vehicles.
Connecticut Administrative Code › Title 16a - Planning and Energy Policy › 48 - Procedures for Establishing Energy Efficiency Standards for Certain Appliances and Products › Section 16a-48-3 - Applicability

Current through July 10, 2024
The appliance efficiency standards set forth in section
				16a-48-3 of the Regulations of Connecticut State Agencies, where in conflict
				with the State Building Code section
				29-252
				of the Connecticut General Statutes, shall take precedence over the standards
				contained in the State Building Code.
Connecticut Administrative Code › Title 16a - Planning and Energy Policy › 48 - Procedures for Establishing Energy Efficiency Standards for Certain Appliances and Products › Section 16a-48-5 - Test methods

Current through July 10, 2024
(a)
General
			 Testing Requirements.
The manufacturer shall cause the testing of units
			 of each basic model of appliance or covered product using the applicable test
			 method listed. If the manufacturer of the basic model does not participate in
			 an approved industry certification program for the basic model, or does not
			 apply such a program to test all units, the testing shall be at a laboratory
			 that, as determined by the Secretary:
(1) has
			 conducted tests using the applicable test method within the previous 12
			 months;
(2) agrees to interpret and
			 apply the applicable test method set forth precisely as written;
(3) has, and keeps properly calibrated and
			 maintained, all equipment, material, and facilities necessary to apply the
			 applicable test method precisely as written;
(4) agrees to and does maintain copies of all
			 test reports, and provides any such report to the Secretary upon request, for
			 all basic models that are still in commercial production; and
(5) agrees to permit the Secretary to witness
			 any test of such an appliance upon request, up to once per calendar year for
			 each basic model.
Connecticut Administrative Code › Title 16a - Planning and Energy Policy › 48 - Procedures for Establishing Energy Efficiency Standards for Certain Appliances and Products › Section 16a-48-6 - Certification of product compliance

Current through July 10, 2024
(a) Using the test
			 methods outlined in Section
			 16a-48-5,
			 manufacturers must provide data in such form as to allow the secretary to make
			 a determination as to whether the product meets the standards set forth in
			 Section
			 16a-48-4.
(b) Procedures for the submittal of data are
			 as follows:
(1) If a manufacturer's product is
			 certified in the State of California (CA), the manufacturer must send a letter
			 on company letterhead to the Connecticut Office of Policy and Management (OPM)
			 that indicates that the product is so certified and that the information the
			 manufacturer had previously submitted to the California Energy Commission (CEC)
			 is true and correct. A manufacturer of propane unit heaters must additionally
			 provide pilot light information to the Secretary for Connecticut certification.
			 Single voltage external AC to DC power supplies are exempt from these
			 requirements. Manufacturers of Single voltage external AC to DC power supplies
			 must label their product as required by the California code of regulations,
			 Title 20: Division 2, Chapter 4, Article 4, Section 1607: Appliance Efficiency
			 Regulations.
(2) If the product is
			 not certified in CA, the manufacturer must submit certification data to the CEC
			 (
http://www.energy.ca.gov/appliances/index.html
)
			 and submit a letter to the Secretary indicating that the information has been
			 submitted to CA and that it is true and correct.
Connecticut Administrative Code › Title 16a - Planning and Energy Policy › 49 - Contract Procedures for Private Power Producers and Providers › Section 16a-49-1 - Definitions, pertaining to gas public service companies

Current through July 10, 2024
(a) "Authority" and "Department" as used in
			 these regulations shall be as defined in section
			 16-1 of
			 the Connecticut General Statutes.
(b) "Gas Public Service Company" as used in
			 these regulations, shall mean a "public service company" which provides gas
			 service, as defined in section
			 16-1 of
			 the Connecticut General Statutes.
(c) "Gas Conservation and Load Management
			 Investments" as used in these regulations, means any investments by gas public
			 service companies in multi-year conservation and load management measures
			 designed to conserve gas energy or manage gas load.
Connecticut Administrative Code › Title 16a - Planning and Energy Policy › 49 - Contract Procedures for Private Power Producers and Providers › Section 16a-49-2 - Conservation and load management plan filing requirements for gas public service companies

Current through July 10, 2024
(a) Consistent with
			 the filing date required in Section
			 16-32f
			 of the Connecticut General Statutes, as may be amended from time to time, each
			 gas public service company shall file with the Department a comprehensive
			 conservation and load management plan including but not limited to the
			 following information:
(1) A forecast of gas
			 loads and resources including but not limited to conservation and load
			 management measures, supply contract terms, line extension and
			 interconnections. The report shall describe the facilities and supply resources
			 that are projected to be required to meet gas demand during the forecast
			 period. This information may incorporate and must be consistent with the ten
			 year report filed with the Department pursuant to Section
			 16-32f
			 of the Connecticut General Statutes;
(2) A report of the status of all gas
			 conservation and load management programs for which the company has made
			 commitments for capital investments within the next ten years from the date of
			 the forecast filing, including any such programs planned but not yet
			 implemented;
(3) A report of the
			 effect of existing and planned conservation and load management programs on the
			 gas winter peak load, and on the projected resource requirements for the next
			 ten years from the date of the forecast filing, including a description of the
			 program's consistency with state energy policy;
(4) Documentation of the program elements,
			 costs, implementation requirements, and fuel and energy savings objectives for
			 each conservation and load management program filed pursuant to this section
			 for the next ten years from the date of the forecast filing and documentation
			 of fuel and energy savings achieved to date for each program; and
(5) Such other information as the Department
			 may direct.
Connecticut Administrative Code › Title 16a - Planning and Energy Policy › 49 - Contract Procedures for Private Power Producers and Providers › Section 16a-49-3 - Department review and action on gas conservation and load management investments

Current through July 10, 2024
(a) The Department
			 shall conduct a public hearing to review the conservation and load management
			 plans filed pursuant to Section
			 16a-49-2(a)
			 and
			 16a-49-2(b)
			 of these regulations and shall issue a decision including but not limited to
			 the following determinations:
(1) Which of the
			 conservation and load management programs are cost efficient and consistent
			 with the provisions of state conservation and energy policy and with provisions
			 of Section
			 16a-35k
			 of the Connecticut General Statutes;
(2) Which of the proposed multi-year
			 conservation and load management investments qualify as investments for
			 inclusion in the rate base of the gas public service company which may be
			 recovered pursuant to provisions of Section
			 16a-49
			 of the Connecticut General Statutes, and
(3) The interim accounting mechanism for
			 recovery of conservation and load management investments pending determination
			 in the company's next filed application for rate adjustment.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-77 - State department of social services policy

Current through July 10, 2024
A. Services
			 Covered by Medicare. For services covered by Medicare, the Provider must
			 complete the Form SSA-1490, Request for Medicare Payment, or Form SSA-1491,
			 Request for Medicare Payment-Ambulance, and submit the Medicare Claim Form
			 directly to Connecticut General, Medicare Claim Office, 200 Pratt Street,
			 Meriden, Connecticut 06450. Please provide the recipient's health insurance
			 claim number, current Social Services case number and signature.
B. Acceptance of Assignment. An assignment
			 for each bill must be accepted since the Social Services recipient has no other
			 resources to meet medical expenses.
The Department of Social Services will not be liable for any
				balance between the amount billed to Medicare and the total amount allowed by
				Medicare.
C. Prior
			 Authorization. There are services which ordinarily require a Prior
			 Authorization by the Department of Social Services.
If the provider sends a Medicare claim for these services to
				the Connecticut General Medicare Claim Office and the claim is rejected because
				the individual is not covered under Medicare Part B, a prior authorization will
				not be required by this Department. However, these bills will be reviewed by
				the State Department of Social Services, Division of Health Services, for
				necessity of services provided and the charge for same.
D. Services Definitely Not Covered by
			 Medicare. Claims for payment for those services which Medicare definitely does
			 not cover, must be submitted directly to the State Department of Social
			 Services on the Social Services Bill Form with the notation on the bill
			 "SERVICE NOT COVERED BY MEDICARE." (For example, flu shots, hearing aids
			 (cords, batteries), et cetera). In order to bill in this manner, it must be
			 clearly evident to the provider that the service is definitely not covered by
			 Medicare.
If these non-covered services require a Prior Authorization,
				the Provider must submit a prior authorization to the Department of Social
				Services prior to the submission of the Social Services Bill. The provider must
				note on the prior authorization form "SERVICE NOT COVERED BY MEDICARE." This
				will alert the Department of Social Services that it is the intent of the
				provider to bill the Department directly.
IMPORTANT: If the Provider is aware that the services are
				definitely not covered by Medicare and continues to bill Medicare directly for
				these particular services, the Department of Social Services will not honor the
				bill(s) for payment.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-78 - Billing procedures effective October 30, 1976 (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-81 - Criteria for determining length of need (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-82 - Form W-614, bill for medical and surgical supplies (Repealed)

Current through July 10, 2024
For 2014 repeal, see
				  Sec.
				  54 of
				  Public
				  Act 14-187. (June 11,
				  2014)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-83 - Fee schedule for commercial ambulance services

Current through July 10, 2024
Revised Ambulance Rates to be Reimbursed by the Department of
				Social Services to Ambulance Companies for Services Rendered to Title XIX
				(Medicaid) Recipients.
Base Rate
$49.00
Note a
Mileage
$ 1.75
Note b
Procedure
Not Specified
Note f
17001
Oxygen & Mask
$10.00
17003
Resuscitator
$10.00
17004
Suction Machine
$10.00
17005
Female Attendant
$18.50
17006
Waiting Time
$25.00 per hour
Note c
17007
Waiting Time (Additional)
$ 6.25 per one quarter hour
17008
Cancelled Call
$25.00
Note d
17009
Multiple Patients
Note e
By Report
Note a. Base rate shall be applicable where both the origin and
				destination are within one town.
Note b. Mileage to be applied from point of origin of movement
				to any final destination outside town in which pick-up is made. Mileage to be
				determined from the P.U.C.A.'s Official Mileage Docket No. 6770.
Note c. Waiting time charges apply per hour. Additional waiting
				time beyond the first hour will be assessed in multiples of 15 minutes at the
				rate of $6.25 per quarter hour.
Note d. A charge for cancelled ambulance call will be assessed
				whenever such ambulance call is cancelled after an ambulance has been called
				for and dispatched to a home, hospital, or scene of accident.
Note e. Whenever multiple patients are carried in any one given
				ambulance, the base rate will be charged for each patient requiring medical
				attention. The other charges to be equally assessed against all patients
				transported are mileage, waiting time, and where applicable, female
				attendant.
Note f. Charges for loss of equipment used in transporting
				patients shall be assessed at actual cost, subject to proof of connection
				between loss of equipment and the transportation of patient.
Note g. There shall be no charges assessed for the
				transportation of non-patients as riders accompanying patients requiring
				ambulance service.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-86 - Ambulance and chaircar services

Current through July 10, 2024
A.
Eligibility.
Transportation services by ambulance and chaircar for
			 the purpose of securing medical services are available to individuals eligible
			 for Medical Assistance (Title XIX) with the following limitations:
1. Transportation is for treatment which is
			 medically necessary.
2.
			 Transportation by taxi with medical assist and by taxi is medically not
			 feasible.
3. Eligibility under
			 medicare is first explored for individuals 65 years of age and over.
4. Prior authorization is required except in
			 the following situations: a. Emergency Situation. A policeman or physician
			 orders an ambulance in an emergency situation. An ambulance is called by
			 someone other than a policeman or a physician in a situation which can later be
			 verified by the Department as an emergency.
Note: An emergency situation is one in which it would be
				detrimental to the patient to be transported by means other than ambulance or
				chaircar for medical conditions, such as accidents, heart attacks, hemmorrhage,
				stroke, coma, etc., which require immediate medical or surgical
				therapy.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-87 - Conditions which usually require transportation by ambulance

Current through July 10, 2024
A.
Medical.
1. Dependent on oxygen
			 (continually).
2. Continually
			 confined to bed (individually judged-stretcher service could be
			 utilized).
3. Patients with cardiac
			 disease resulting in inability to carry on any physical activity without
			 discomfort. Symptoms of cardiac insufficiency or of the anginal syndrome may be
			 present even at rest. If any physical activity is undertaken discomfort is
			 increased.
4. On IV.
5. After cardiac catheterization.
6. Having uncontrolled seizure
			 disorders.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Section 17-2-88 - Procedures

Current through July 10, 2024
A.
Ambulance and Chaircar.
1. Prior authorization. For ambulance and
			 chaircar, prior authorization must indicate the name of the physician
			 requesting the service. When verbal approval is given, the formal request must
			 follow as soon as possible and no later than 5 days, with the notation that
			 verbal approval has been given and by whom.
Ambulance and chaircar requests for prior authorization must be
				signed by a physician or other medically responsible person. If the appropriate
				signature does not appear on the request for prior authorization, said request
				will be returned unauthorized.
2. Billing. A bill for Medical Transportation
			 must be accompanied by a copy of the prior authorization. A billing not
			 accompanied by a copy of the prior authorization because the service was given
			 on an emergency basis, will be forwarded to the Division of Health Services for
			 review and decision regarding the emergency need for the ambulance service or
			 the need to request additional information from the ambulance company
			 substantiating the bill.
3. Return
			 Trip from Hospital - Emergency Room. Transportation by taxicab should be used
			 unless medically contra-indicated.
4. Over-utilization. Patients who
			 over-utilize ambulance services will be identified and a medical social worker
			 from the Bureau of Health Services will visit the patient.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Policy and Procedures Governing the Billing and Payment for Prescription Drugs on behalf of Title XIX (Medicaid) Recipients › Section 17-2-95 - Definition

Current through July 10, 2024
1. A.W.P. or Average Wholesale Price means
				the published wholesale price listed in the "Red Book" and its subsequent
				monthly supplements, except that, in those cases where the current wholesale
				price in Connecticut is greater than the "Red Book" wholesale price, the
				Connecticut current wholesale price shall apply.
2. E.A.C. (Estimated Acquisition Cost) means
				the Department of Social Services' closest estimate of the price generally and
				currently paid by providers for a prescribed drug.
3. Nonlegend drugs mean those drugs which do
				not require a prescription to be purchased and which are commonly referred to
				as over the counter drugs (OTC drugs).
4. Usual and Customary Charge to the "General
				Public" means the charge which will be made for the particular prescription by
				the provider to the patient group accounting for the largest number of
				Non-Medicaid prescriptions. In determining such charge, all charges made to
				third party payors and special discounts offered to an individual such as a
				senior citizen will be excluded.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Policy and Procedures Governing the Billing and Payment for Prescription Drugs on behalf of Title XIX (Medicaid) Recipients › Section 17-2-96 - Generic prescribing of drugs and quantities thereof

Current through July 10, 2024
The department may pay for accepted methods of diagnosis and
				  treatments, but will not pay for anything of an unproven, experimental or
				  research nature.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Policy and Procedures Governing the Billing and Payment for Prescription Drugs on behalf of Title XIX (Medicaid) Recipients › Section 17-2-97 - Charge

Current through July 10, 2024
1. When the more commonly used generic drugs
				are prescribed, average prices of such generic drugs as determined by the
				department will apply as to the charge to the state-not prices applicable to
				trade names. This will apply to the more commonly prescribed drugs such as:
				chloral hydrate, penicillin-G, penicillin- VK, tetracycline, ampicillin,
				meprobamate, reserpine, prednisone, propoxyphene and its compounds,
				hydrochlorthiazide, etc.
2. Except
				as provided in sec. 17-2-99A, the charge for prescriptions shall be based on
				the average wholesale price per 100, pint or package, as indicated in the Red
				Book, plus the applicable professional fee, or the E.A.C. plus the applicable
				professional fee, or the usual and customary charge to the general public
				whichever is lower; the use of the foregoing price determination methods shall
				be as follows:
A. For the most frequently
				proscribed legend drugs, reimbursement shall be made on the basis of an
				estimated acquisition cost or AWP which shall be the price generally and
				currently paid by providers and which shall be determined by the department of
				social services, plus the applicable professional fee, or the usual and
				customary charge to the general public by the provider, whichever is lower.
Following final determination of the E.A.C. prices for the
				  most frequently prescribed drugs, a list shall be compiled by the department
				  showing the name of the drug, the procedure code for the drug and its E.A.C.
				  price. Such lists shall be distributed to all pharmacy providers.
B. For all legend drugs for which
				an E.A.C. price has not been determined, reimbursement shall be made on the
				basis of the average wholesale price per 100, pint or package as indicated in
				the Red Book or their respective continuing supplements plus the applicable
				professional fee, or the usual and customary charge to the general public by
				the provider whichever is lower. In those cases where the current wholesale
				price in Connecticut is greater than the Red Book or AWP (e.g. controlled
				drugs) the Connecticut current wholesale price shall apply.
C. For nonlegend drugs (OTC drugs)
				reimbursement shall be based on the usual and customary over the counter price.
				For any nonlegend drug prescribed in less than the standard package,
				reimbursement shall be made for the full standard package size closest to the
				quantity ordered. The list of items in sec.
				17-2-98
				represents by category, those products which are reimbursable.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Policy and Procedures Governing the Billing and Payment for Prescription Drugs on behalf of Title XIX (Medicaid) Recipients › Section 17-2-119 - Services requiring prior authorization (Repealed)

Current through July 10, 2024
For 2014 repeal, see
					 Sec.
					 54 of
					 Public
					 Act 14-187. (June 11,
					 2014)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Title XIX (Medicaid) Recipient's Personal Allowance in a nursing facility, intermediate care facility for the mentally retarded (ICF/MR), Chronic Disease Facility or Mental Health Facility › Section 17-2-140 - Definitions

Current through July 10, 2024
A.
Patient's Personal Allowance
.
				The Patient's Personal Allowance (PPA) is the amount of money that patients who
				are recipients of Medical Assistance in Long-Term Care Facilities have
				accumulated from the amount allowed each month from his or her income for
				personal needs, as determined by section
				17b-272
				of the Connecticut General Statutes.
B.
Long-Term Care Facility
.
				Long-Term Care Facilities include licensed nursing facilities, ICFs/MR, Chronic
				Disease Facilities and Mental Health Facilities.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Title XIX (Medicaid) Recipient's Personal Allowance in a nursing facility, intermediate care facility for the mentally retarded (ICF/MR), Chronic Disease Facility or Mental Health Facility › Section 17-2-141 - Purpose of patient's personal allowance policy

Current through July 10, 2024
The purpose of the Patient's Personal Allowance (PPA) Policy
				  is to establish standards and accounting controls for PPA when the Long-Term
				  Care Facility acts as trustee for publicly-aided patients who are residents of
				  the Long-Term Care Facility. In terms of this section, publicly-aided patients
				  are those recipients who participate in the Medical Assistance Program through
				  residence in a licensed nursing facility, ICF/MR, Chronic Disease Facility or
				  Mental Health Facility. Items and services that may be charged to the patient's
				  personal allowance are described in
				  42 CFR
				  483.10(c)(8)(ii), as amended
				  from time to time.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Title XIX (Medicaid) Recipient's Personal Allowance in a nursing facility, intermediate care facility for the mentally retarded (ICF/MR), Chronic Disease Facility or Mental Health Facility › Section 17-2-142 - Patient's authorization for facility to manage funds

Current through July 10, 2024
When a facility assumes responsibility for funds for a
				  patient receiving Medical Assistance, there must be a statement on file signed
				  by the patient, his guardian, conservator or legally liable relative
				  authorizing the facility to manage the personal funds. No nursing home shall
				  use or cause to be used for any purpose the personal funds of any patient
				  admitted to a Long-Term Care Facility unless written consent has been obtained
				  from the patient or from a legally liable relative, conservator or
				  guardian.
Consent by a patient shall not be effective unless co-signed
				  by a legally liable relative or guardian if the patient has been determined by
				  a physician to be mentally incapable of understanding and no conservator has
				  been appointed.
A facility may request written authorization from a competent
				  patient of an alternative plan of control of his personal funds if he should
				  become incompetent. A Power-of-Attorney designating a relative or other
				  responsible person may be an acceptable plan for assuming responsibility for
				  the funds. The "other responsible person" shall not be an employee of the
				  facility or in any way related to an employee of the
				  facility.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Title XIX (Medicaid) Recipient's Personal Allowance in a nursing facility, intermediate care facility for the mentally retarded (ICF/MR), Chronic Disease Facility or Mental Health Facility › Section 17-2-143 - The PPA accounting system-responsibilities of facility

Current through July 10, 2024
A.
Relative, Guardian or Conservator Handles the PPA.
1. If a relative, guardian or conservator
				receives the patient's resource or Supplemental Security Income (SSI) check and
				keeps the PPA to manage for the patient, the facility is not required to keep
				any records.
2. If the facility
				receives the resource or SSI check and remits the PPA to a relative, guardian
				or conservator, the facility shall obtain a signature from the person receiving
				funds and record the dates and amounts received. This must be done in the
				Disbursements Register. If the facility mails checks to the relative, guardian,
				or conservator, the cancelled checks are acceptable in lieu of a signature. A
				signed receipt is also acceptable in lieu of a signature. Records must be kept
				of all these transactions.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Title XIX (Medicaid) Recipient's Personal Allowance in a nursing facility, intermediate care facility for the mentally retarded (ICF/MR), Chronic Disease Facility or Mental Health Facility › Section 17-2-144 - Annual accounting to the department of PPA balance

Current through July 10, 2024
Annually, by each June 1st, an accounting must be made to the
				  Department of Social Services reflecting the balance of the PPA for each
				  patient for whom the facility handles the funds. If money is held in an
				  aggregate trustee bank account, the balance for each patient must be
				  accompanied by a bank statement. A bank statement is not necessary for
				  individual patient bank accounts. The accounting must consist of the
				  following:
(a) Recipient's
				name
(b) Welfare number
(c) Welfare Service Office
(d) Petty cash held in facility for
				patient
(e) Balance held in bank
				book for patient
(f) Balance held
				in Trustee account for patient
(g)
				Any other money being held for patient for whom facility is trustee
If the facility is not trustee for any patient's money it
must so state
by each June 1st to the Department.
The accounting to the Department must be submitted by June
				  1st of each year on the Statement of Patient's Personal Fund Account (Form
				  W-411) and must be dated, signed by the administrator of facility, and mailed
				  to:
Connecticut State Department of Social Services
Internal Audit Division
110 Bartholomew Avenue
Hartford, Connecticut 06115
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Title XIX (Medicaid) Recipient's Personal Allowance in a nursing facility, intermediate care facility for the mentally retarded (ICF/MR), Chronic Disease Facility or Mental Health Facility › Section 17-2-145 - Accounting of personal funds upon sale of a facility

Current through July 10, 2024
If the facility is sold, an accounting must be made to the
				  Department of the Personal Funds balances which are to be transferred to the
				  new owner. This accounting must consist of the use of the "Statement of
				  Patient's Personal Fund Account" form (the same format as the annual
				  accounting) and must be signed and dated by both the seller and the buyer. In
				  the case of corporations it must be signed by a person authorized on behalf of
				  the corporation. In a partnership, one or both partners may sign; if a sole
				  owner, he/she must sign. The accounting must be accompanied by the most current
				  bank statement and must be reconciled accurately with the statement. The W-411
				  form must be mailed to the same address as in Item 17.
The Department will not enter into a contract with a new
				  owner unless this information is submitted.
If the facility does not handle any Patient's Personal
				  Allowance it must so state upon sale of the facility.
Should changes occur in personnel responsible for personal
				  needs funds accountability, appropriate changes in authorized signature for
				  checking accounts or designated Trustee for Savings Passbooks shall be made at
				  financial institutions and documented. The supporting data is to be made
				  available for review purposes.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Use of Provider Numbers by Physicians Salaried by General Hospitals and Public and Private Institutions and Clinics › Section 17-2-163 - Requirements for skilled nursing, intermediate care and chronic disease facilities in taking deposits or prepayments on behalf of patients who are applicants for Title XIX (Medicaid), who are subsequently determined eligible for Title XIX (Medicaid) and the requirements for these facilities to refund such deposit or prepayment

Current through July 10, 2024
(a) Any prepayment
				or deposit made by or on behalf of an applicant for Title XIX (Medicaid), which
				is accepted by a facility, must be refunded to the payor when Title XIX
				(Medicaid) eligibility is established.
(b) Any such prepayment or deposit cannot
				exceed $1,500.00 and such prepayment or deposit shall be placed in escrow as
				designated by the Department of Income Maintenance.
(c) Upon a determination of eligibility, the
				payment held in escrow shall be refunded to the payor and the Title XIX payment
				shall be made to the facility. Upon a determination of ineligibility, the
				payment held in escrow may be transferred to the facility operating account
				unless the applicant requests a Fair Hearing, in which case the payment shall
				continue to be held in escrow until final disposition of the administrative
				appeal.
(d) One escrow bank account
				is sufficient to handle the deposits. Documentation in the form of receipts and
				disbursements by the individual must be available to the Department of Income
				Maintenance showing dates, purpose and disposition. Subsidiary accounts for
				each person shall be maintained to provide adequate record of transactions and
				current balances.
(e) Where a
				prepayment or deposit is to be refunded, the full amount paid for services
				rendered during the period of Title XIX eligibility must be refunded. Example:
				If the Department of Income Maintenance payment was $30.00 for a service toward
				which the recipient had made a $40.00 deposit or prepayment, the facility must
				refund the full $40.00 and accept the $30.00 payment as payment in full for
				that service.
(f) The Department of
				Income Maintenance shall not pay a facility for services for which a prepayment
				or deposit is being held in escrow until such time as the escrow account is
				refunded to the person who made such payment. Any payment for services made by
				the Department of Income Maintenance is subject to the criteria of existing
				program policy.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Use of Provider Numbers by Physicians Salaried by General Hospitals and Public and Private Institutions and Clinics › Section 17-2-164 - Payments made on behalf of an applicant of Title XIX (Medicaid) who is a patient at a skilled nursing, intermediate care and chronic disease facility which is considered as income and not a deposit or prepayment

Current through July 10, 2024
Payments made to a Title XIX (Medicaid) applicant for his own
				  use are considered as income available to him and must be counted in
				  determining his financial eligibility for Medicaid. These payments shall not be
				  regarded as available income until the applicant attains a personal asset
				  account of $250.00 and a burial reserve of $600.00, when program policy so
				  allows.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Pilot Voluntary Work Program › Section 17-2-207 - Pilot voluntary work program (Repealed)

Current through July 10, 2024
For 2014 repeal, see
					 Sec.
					 54 of
					 Public
					 Act 14-187. (June 11,
					 2014)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Public Assistance Checks Cashed by Banking Institutions › Section 17-2-214 - Definition

Current through July 10, 2024
As used in section
				  17-2-215,
				  "banking institution" means a state bank and trust company, national banking
				  association, state or federally chartered savings bank, state or federally
				  chartered savings and loan association, state or federally chartered credit
				  union or other state or federally chartered banking institution having an
				  office within this state.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2 - Public Assistance › Public Assistance Checks Cashed by Banking Institutions › Section 17-2-215 - Public assistance checks cashed by banking institutions

Current through July 10, 2024
No banking institution shall be liable to reimburse the State
				  of Connecticut for a loss incurred as a result of wrongful payment of any
				  Public Assistance check provided that acceptable forms of identification as
				  described in subsection (a) of this section are used and providing the
				  procedures listed in subsection (b) of this section are followed.
(a) Documents issued by public or private
				organizations as a means of identifying an individual are considered acceptable
				forms of identification. The identification document must include the signature
				of the payee or a unique number by which the organization can identify the
				payee. Acceptable forms of identification may be issued by the following
				organizations:
(1) the Department of Income
				Maintenance
(2) the Department of
				Motor Vehicles
(3) other State
				agencies
(4) federal
				agencies
(5)
				municipalities
(6)
				employers
(7) credit card
				companies
(8) banking
				institutions
(9) unions
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-1-17-2a-2

Current through July 10, 2024
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-3 - Time for request

Current through July 10, 2024
When a departmental decision or action is being appealed, the
				request for a fair hearing shall be mailed within thirty days from the date of
				the notice of action. When a request for a fair hearing results from the
				department's failure to render a decision on an application, the request may be
				mailed any time after sixty days from date of application.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-4 - Scheduling of hearing

Current through July 10, 2024
Immediately upon receipt of a request for a fair hearing, the
				hearing officer shall schedule the hearing to be held within thirty days from
				the date of the request. The request shall be acknowledged by a letter to the
				appellant which shall inform him of the date, time and place scheduled for the
				hearing. If the date, time or place scheduled for the hearing is not convenient
				to the appellant, the hearing shall be rescheduled to suit the mutual
				convenience of the appellant and the department representatives. A fair hearing
				may also be rescheduled by the hearing officer to suit the convenience of the
				department representatives, in which case reasonable advance notice shall be
				given to the individual requesting the hearing. When a hearing is rescheduled,
				the new date, time and place shall be confirmed in writing.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-5 - Disposal of request for hearing

Current through July 10, 2024
A request for a fair hearing may be disposed of only by one of
				the following definitive actions:
(1)
			 Withdrawal of the request by the person who made it. This action shall be
			 voluntary and may be made at any time prior to the hearing by a written
			 statement of withdrawal, addressed to the welfare commissioner. The withdrawal
			 shall be acknowledged in writing by the hearing officer.
(2) Dismissal of the request by the hearing
			 officer. This action shall be taken if:
(A)
			 The appellant fails to appear at the designated time and place, and if, within
			 a reasonable time thereafter, it is determined that he wishes no further action
			 taken on his request for a fair hearing; or
(B) the point at issue is revolved prior to
			 the fair hearing and the request is not voluntarily withdrawn by the appellant.
			 A written notice of dismissal shall be sent by the hearing officer to the
			 person who requested the fair hearing.
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-6 - Site of hearing. Hearing officer in charge

Current through July 10, 2024
(a) The
			 fair hearing shall be held in the district office of the state welfare
			 department unless other arrangements are necessary to suit the convenience of
			 the person requesting the hearing.
(b) The hearing officer shall be in charge of
			 the proceedings.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-7 - Witnesses

Current through July 10, 2024
The appellant shall act as a witness in his own behalf, and may
				bring additional witnesses. The department shall be represented at a fair
				hearing by the social worker, or investigator in a humane institutional case,
				and, if necessary, by a consultant who is acquainted with the technical aspect
				of property or medical questions involved. A supervisor may substitute for the
				worker, or investigator in a humane institutional case, or may act as a
				witness.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-8 - Testimony

Current through July 10, 2024
Testimony may be given by the appellant and his witnesses and
				by the social worker, or investigator in a humane institutional case, and other
				departmental representatives in response to questions asked by the hearing
				officer. Testimony may be freely given so long as it is reasonably relevant to
				the questions asked and is offered in a proper manner. The technical rules of
				evidence do not apply, although testimony is required by law to be given under
				oath. If the appellant is represented by legal counsel, his direct testimony is
				usually given in response to his attorney's questions. His attorney may also
				question departmental representatives. The appellant who is not represented by
				counsel may ask questions which are answered by the hearing officer or directed
				by him in turn to a departmental representative.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-9 - Exhibits

Current through July 10, 2024
Exhibits may be introduced by departmental representatives or
				other witnesses to substantiate or amplify their oral testimony. For example,
				bank books, deeds, mortgage notes, wage slips, medical bills and other papers
				or records may be introduced, if relevant to the case. If the individual wishes
				to retain possession of a document introduced as an exhibit, the substance of
				it may be dictated into the record by the hearing officer. The appellant has
				the right to examine all documents and records used at the hearing at any
				reasonable time.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-10 - Change in circumstances after hearing

Current through July 10, 2024
Any change in circumstances which occurs in the case after a
				fair hearing has been held shall have no effect on the fair hearing
				decision.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)
Connecticut Administrative Code › Title 17 - Public Assistance and Welfare Services › 2a - Fair Hearings › Section 17-2a-11 - Subpoenas

Current through July 10, 2024
The hearing officer has the power to compel, by subpoena, the
				attendance and testimony of witnesses and the production of books and papers
				where such action becomes necessary.
Per R.C.S.A., (Supplement 89 edition) and Secretary of the
				  State Regulation File # 1134, §§ 17-2a-1 through 17-2a-12, inclusive,
				  published in the Connecticut Law Journal, April 4, 1967; disapproved by the
				  interim regulation review committee, effective February 13, 1968; reinstated as
				  effective in accordance with § 4-48a of the 1969 Supplement to the General
				  Statutes as of the adjournment sine die of the 1969 session of general
				  assembly. (February 18, 2015)