(a) The rate to be paid by the state to rehabilitation centers, including but not limited to, centers affiliated with the Easter Seal Society of Connecticut, Inc., for services to patients referred by any state agency, except employment opportunities and day services, shall be determined annually by the Commissioner of Social Services who shall prescribe uniform forms on which such rehabilitation centers shall report their costs, except that rates effective April 30, 1989, shall remain in effect through May 31, 1990, and rates in effect February 1, 1991, shall remain in effect through December 31, 1992, except those which would be decreased effective January 1, 1992, shall be decreased. For the rate years beginning January 1, 1993, through December 31, 1995, any rate increase shall not exceed the most recent annual increase in the consumer price index for urban consumers. Such rates shall be determined on the basis of a reasonable payment for necessary services rendered. Nothing contained herein shall authorize a payment by the state to any such rehabilitation center in excess of the charges made by such center for comparable services to the general public. The Commissioner of Social Services shall establish a fee schedule for rehabilitation services to be effective on and after January 1, 1996. The fee schedule may be adjusted annually beginning July 1, 1997, to reflect necessary increases in the cost of services.
(b) The amount to be paid by the state to rehabilitation centers including but not limited to centers affiliated with the Easter Seal Society of Connecticut, Inc., for employment opportunities and day services to patients referred by any state agency shall be determined annually using a uniform payment system in accordance with the provisions of subsection (a) of section 17a-246.
(1969, P.A. 346, S. 1; P.A. 73-117, S. 25, 31; P.A. 79-560, S. 27, 39; P.A. 80-483, S. 174, 186; P.A. 89-325, S. 13, 26; June Sp. Sess. P.A. 91-8, S. 14, 63; May Sp. Sess. P.A. 92-16, S. 27, 89; P.A. 93-262, S. 1, 87; 93-418, S. 25, 41; P.A. 95-160, S. 66, 69; P.A. 96-139, S. 12, 13; P.A. 11-16, S. 33.)
History: P.A. 73-117 replaced hospital cost commission with committee established under Sec. 17-311; P.A. 79-560 replaced the committee with commissioner of income maintenance; P.A. 80-483 deleted “for Crippled Children and Adults” in Easter Seal Society name; P.A. 89-325 amended Subsec. (a) to exclude centers that provide employment opportunities and day services from the rate setting in this section, it also allows rates effective April 30, 1989, to remain in effect through May 31, 1990, and added a new Subsec. (b) re rates for centers providing employment opportunities and day services; June Sp. Sess. P.A. 91-8 amended Subsec. (a) re rates paid by the state for rehabilitation centers; May Sp. Sess. P.A. 92-16 amended Subsec. (a) by providing that for the rate year beginning January 1, 1993, any rate increase shall not exceed the most recent annual increase in the consumer price index for urban consumers. P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and department of income maintenance, effective July 1, 1993; P.A. 93-418 amended Subsec. (a) concerning rate increases and the consumer price index to specify applicability for any succeeding rate year after January 1, 1993, effective July 1, 1993; Sec. 17-313a transferred to Sec. 17b-243 in 1995; P.A. 95-160 amended Subsec. (a) by replacing “any succeeding year” with “December 31, 1995” for the period of time after January 1, 1993, which shall not have a rate increase exceeding the most recent annual increase in the consumer price index for urban consumers and by adding a provision requiring the commissioner to establish a fee schedule for rehabilitation services to be effective on and after January 1, 1996, effective June 1, 1995; P.A. 96-139 changed effective date of P.A. 95-160 but without affecting this section; P.A. 11-16 amended Subsec. (a) to delete “as defined in section 17a-246” re employment opportunities and day services, effective May 24, 2011.
Structure Connecticut General Statutes
Chapter 319v - Medical Assistance
Section 17b-220. (Formerly Sec. 17-292g). - Reimbursement of medical providers.
Section 17b-221. (Formerly Sec. 17-292h). - Regulations. Reimbursement of hospitals.
Section 17b-221a. - Revenue from Riverview Hospital to be used to pay Medicaid claims.
Section 17b-222. (Formerly Sec. 17-294). - “Humane institution” defined. Daily report.
Section 17b-223. (Formerly Sec. 17-295). - Support in humane institutions.
Section 17b-224. (Formerly Sec. 17-295b). - Liability of patient for per capita cost of care.
Section 17b-225. (Formerly Sec. 17-295c). - Availability of patient information to certain agencies.
Section 17b-226a. - Provider billing rates for goods and services.
Section 17b-227. (Formerly Sec. 17-297). - Payment for services in state humane institutions.
Section 17b-229. (Formerly Sec. 17-299). - Liability for prior charges.
Section 17b-230. (Formerly Sec. 17-300). - Claim of state on death of institution patient.
Section 17b-231. (Formerly Sec. 17-301). - Refund for support of persons in state institutions.
Section 17b-237. (Formerly Sec. 17-310). - State aid toward support of children at center.
Section 17b-238. (Formerly Sec. 17-311). - State payments to hospitals.
Section 17b-239b. - Chronic disease hospitals. Prior authorization procedures. Regulations.
Section 17b-239c. - Interim disproportionate share payments to short-term general hospitals.
Section 17b-239d. - Payments for outpatient hospital services.
Section 17b-239e. - Hospital rate plan. Supplemental pools and payments. Quality measures.
Section 17b-241b. - Rate for private psychiatric residential treatment facilities.
Section 17b-243. (Formerly Sec. 17-313a). - Payments to rehabilitation centers.
Section 17b-245a. - Payments to federally qualified health centers.
Section 17b-245e. - Telehealth services provided under the Medicaid program. Report.
Section 17b-249. (Formerly Sec. 17-317). - Support of mentally ill persons accused of crime.
Section 17b-252. (Formerly Sec. 17-12q). - Connecticut Partnership for Long-Term Care.
Section 17b-256e. - Reports re potential participants in affordable pharmaceutical drug program.
Section 17b-256f. - Eligibility for Medicare savings programs. Regulations.
Section 17b-257b. - Alien eligibility for state medical assistance. Regulations.
Section 17b-257d. - Notice of terminating alien's state medical assistance.
Section 17b-257e. - Postpartum care for women without legal immigration status. Income eligibility.
Section 17b-258. (Formerly Sec. 17-12jj). - Health insurance assistance for unemployed persons.
Section 17b-259. (Formerly Sec. 17-274). - Medically necessary services.
Section 17b-260. (Formerly Sec. 17-134a). - Acceptance of federal grants for medical assistance.
Section 17b-260c. - Medicaid waiver to provide coverage for family planning services.
Section 17b-261. (Formerly Sec. 17-134b). - Medicaid. Eligibility. Assets. Waiver from federal law.
Section 17b-261b. - Program eligibility determined by department. Spousal support.
Section 17b-261c. - Medical assistance. Changes in circumstances.
Section 17b-261d. - Disease management initiative. Implementation. Annual report.
Section 17b-261e. - Mobile field hospital: HUSKY Health program coverage.
Section 17b-261f. - Mobile field hospital account.
Section 17b-261i. - Administrative services for Medicaid recipients. Regulations.
Section 17b-261j. - Easy Breathing model in HUSKY Health program.
Section 17b-261l. - Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations.
Section 17b-261o. - Imposition of penalty period when undue hardship exists. Exception.
Section 17b-261t. - Contents of Medicaid benefits cards.
Section 17b-261v. - Parent or needy caretaker relative. Review of Medicaid coverage options.
Section 17b-262. (Formerly Sec. 17-134d). - Regulations. Admissions to nursing home facilities.
Section 17b-263c. - Medical homes. Regulations.
Section 17b-264. (Formerly Sec. 17-134e). - Extension of other public assistance provisions.
Section 17b-265b. - Reimbursement rates for pathologists.
Section 17b-265c. - Medicaid and Medicare dually eligible pilot program.
Section 17b-265g. - Health insurer. Duties owed to the state and Commissioner of Social Services.
Section 17b-266a. - Contract with pharmacy benefits management organization.
Section 17b-268. (Formerly Sec. 17-134i). - Withdrawal of member of group providing services.
Section 17b-269. (Formerly Sec. 17-134j). - Bonding of officers and employees.
Section 17b-270. (Formerly Sec. 17-134k). - Liability of agency and its officers.
Section 17b-271. (Formerly Sec. 17-134l). - Termination of agreement.
Section 17b-272. (Formerly Sec. 17-134m). - Personal fund allowance.
Section 17b-274b. - Pharmaceutical purchasing initiative. Annual report.
Section 17b-274e. - Prescription drugs. Utilization of cost-efficient dosages.
Section 17b-274f. - Step therapy program for Medicaid prescription drugs.
Section 17b-275. (Formerly Sec. 17-134r). - Physician and pharmacy lock-in procedure.
Section 17b-276b. - Nonemergency medical transportation services. Prior authorization.
Section 17b-276c. - Payment for medically necessary mode of transportation service.
Section 17b-277b. - Healthy Start program. Plan. Review.
Section 17b-277c. - Medicaid coverage for donor breast milk. Requirements. Regulations.
Section 17b-278a. - Coverage for treatment for smoking cessation.
Section 17b-278b. - Medical assistance for breast and cervical cancer.
Section 17b-278f. - Amendment to state Medicaid plan to provide treatment for tuberculosis.
Section 17b-278g. - Medical assistance for eyeglasses and contact lenses. Regulations.
Section 17b-278h. - Medical assistance for chiropractic services. Regulations.
Section 17b-278j. - Complex rehabilitation technology. Definitions. Report.
Section 17b-278k. - Electronic transmission of prescriptions for durable medical equipment.
Section 17b-280c. - Methadone maintenance. Minimum rates.
Section 17b-281b. - Used durable medical equipment. Payments to vendors or suppliers.
Section 17b-281c. - Authority of commissioner to modify medical equipment fee schedules.
Section 17b-282b. - Implementation of state-wide dental plan. Waiver.
Section 17b-282c. - Nonemergency dental services. Regulations.
Section 17b-282d. - Commissioner to modify nonemergency dental services. Regulations.
Section 17b-282e. - Orthodontic services for Medicaid recipients under twenty-one years of age.
Section 17b-282f. - Mobile dental clinics. Medicaid coverage areas. Regulations.
Section 17b-284. (Formerly Sec. 17-134ff). - Medical assistance for certain employed persons.
Section 17b-286. - Medicaid management information system. Reports.
Section 17b-288. - Organ transplant account. Regulations.
Section 17b-290. - Definitions.
Section 17b-291. - Children's health insurance plan.
Section 17b-292a. - Information for redetermination of eligibility under HUSKY Plan.
Section 17b-292b. - Prenatal care under HUSKY B. Unborn child option. Income eligibility.
Section 17b-293. - Minimum benefit coverage under HUSKY Plan, Part B.
Section 17b-294. - HUSKY Plus programs.
Section 17b-294a. - HUSKY Plus program. Administration. Eligibility. Regulations.
Section 17b-295. - Cost-sharing requirements under HUSKY B.
Section 17b-297. - Outreach programs for HUSKY Plan, Part A and Part B.
Section 17b-299. - Applications. Approval.
Section 17b-300. - Notification of member's change of circumstance.
Section 17b-301. - Recovery of payment for false statement, misrepresentation or concealment.
Section 17b-303. - Income disregard. Application for federal waiver.
Section 17b-304. - Regulations.
Section 17b-306a. - Child health quality improvement program. Purpose and scope. Annual reports.
Section 17b-307. - Primary care case management pilot program.
Section 17b-311. - Charter Oak Health Plan.
Section 17b-312. - Medicaid waiver to seek federal funds to support the Covered Connecticut program.
Section 17b-313. - Innovation waiver for health care expansion.