Connecticut General Statutes
Chapter 319y - Long-Term Care
Section 17b-340a. - Determination of resident day user fee in an intermediate care facility for individuals with intellectual disabilities. Penalty. Delegation of authority to Commissioner of Social Services.

(a) For purposes of this section and section 17b-340b:

(1) “Commissioner” means the Commissioner of Revenue Services;
(2) “Department” means the Department of Revenue Services;
(3) “Intermediate care facility for individuals with intellectual disabilities” or “intermediate care facility” means a residential facility for persons with intellectual disability which is certified to meet the requirements of 42 CFR 442, Subpart C and, in the case of a private facility, licensed pursuant to section 17a-227;
(4) “Resident day” means a day of intermediate care facility residential care provided to an individual and includes the day a resident is admitted and any day for which the intermediate care facility is eligible for payment for reserving a resident's bed due to hospitalization or temporary leave and for the date of death. For purposes of this subdivision, a day of care shall be the period of time between the census-taking hour in a facility on two successive calendar days. “Resident day” does not include the day a resident is discharged;
(5) “Intermediate care facility for individuals with intellectual disabilities net revenue” means amounts billed by an intermediate care facility for all services provided, including room, board and ancillary services, minus (A) contractual allowances, (B) payer discounts, (C) charity care, and (D) bad debts; and
(6) “Contractual allowances” means the amount of discounts allowed by an intermediate care facility to certain payers from amounts billed for room, board and ancillary services.
(b) (1) For each calendar quarter commencing on or after July 1, 2011, and prior to July 1, 2017, there is hereby imposed a resident day user fee on each intermediate care facility for individuals with intellectual disabilities in this state, which fee shall be the product of the facility's total resident days during the calendar quarter multiplied by the user fee, as determined by the Commissioner of Social Services pursuant to section 17b-340b.
(2) Each intermediate care facility for individuals with intellectual disabilities shall, on or before the last day of January, April, July and October of each year, render to the commissioner a return, on forms prescribed or furnished by the commissioner, stating the intermediate care facility's total resident days during the calendar quarter ending on the last day of the preceding month and stating such other information as the commissioner deems necessary for the proper administration of the provisions of this section. The resident day user fee imposed under this section shall be due and payable on the due date of such return. Each intermediate care facility shall be required to file such return electronically with the department and to make such payment by electronic funds transfer in the manner provided by chapter 228g, irrespective of whether such facility would have otherwise been required to file such return electronically or to make such payment by electronic funds transfer under the provisions of chapter 228g.
(c) Whenever such resident day user fee is not paid when due, a penalty of ten per cent of the amount due or fifty dollars, whichever is greater, shall be imposed, and interest at the rate of one per cent per month or a fraction thereof shall accrue on such user fee from the due date of such user fee until the date of payment.
(d) The commissioner shall notify the Commissioner of Social Services of any amount delinquent under section 17b-340b and, upon receipt of such notice, the Commissioner of Social Services shall deduct and withhold such amount from amounts otherwise payable by the Department of Social Services to the delinquent facility.
(e) The provisions of section 12-548, sections 12-550 to 12-554, inclusive, and section 12-555a shall apply to the provisions of this section in the same manner and with the same force and effect as if the language of said sections had been incorporated in full into this section and had expressly referred to the user fee imposed under this section, except to the extent that any provision is inconsistent with a provision in this section. For purposes of section 12-39g, the resident day user fee shall be treated as a tax.
(f) The commissioner may enter into an agreement with the Commissioner of Social Services delegating to the Commissioner of Social Services the authority to examine the records and returns of any intermediate care facility for individuals with intellectual disabilities in this state subject to the resident day user fee imposed under this section and to determine whether such user fee has been underpaid or overpaid. If such authority is so delegated, examinations of such records and returns by the Commissioner of Social Services and determinations by the Commissioner of Social Services that such user fee has been underpaid or overpaid shall have the same effect as similar examinations or determinations made by the Commissioner of Revenue Services.
(g) (1) The commissioner shall not collect the resident day user fee pursuant to this section until the Commissioner of Social Services informs the commissioner that all the necessary federal approvals are in effect to secure federal financial participation matching funds associated with any authorized facility rate increases.
(2) The commissioner shall cease to collect the resident day user fee pursuant to this section if the Commissioner of Social Services informs the commissioner that the federal approvals described in subdivision (1) of this subsection are withheld or withdrawn.
(P.A. 11-6, S. 151; P.A. 13-139, S. 10; June Sp. Sess. P.A. 17-2, S. 616.)
History: P.A. 11-6 effective July 1, 2011; P.A. 13-139 amended Subsecs. (a), (b) and (f) by substituting “individuals with intellectual disabilities” or “persons with intellectual disability” for “the mentally retarded”; June Sp. Sess. P.A. 17-2 amended Subsec. (b)(1) by adding “and prior to July 1, 2017”, re imposition of resident day user fee, effective October 31, 2017.
See Ch. 211c re intermediate care facility user fee.

Structure Connecticut General Statutes

Connecticut General Statutes

Title 17b - Social Services

Chapter 319y - Long-Term Care

Section 17b-337. - Long-Term Care Planning Committee. Long-term care plan.

Section 17b-338. - Long-Term Care Advisory Council. Membership. Duties.

Section 17b-339. - Nursing Home Financial Advisory Committee. Duties. Membership. Reports. Annual meeting.

Section 17b-340. (Formerly Sec. 17-314). - Rates of payment to nursing homes, chronic disease hospitals associated with chronic and convalescent homes, rest homes with nursing supervision, residential care homes and residential facilities for persons...

Section 17b-340a. - Determination of resident day user fee in an intermediate care facility for individuals with intellectual disabilities. Penalty. Delegation of authority to Commissioner of Social Services.

Section 17b-340b. - Intermediate care facilities for individuals with intellectual disabilities. User fee.

Section 17b-340c. - Advance payments to nursing facilities. Recovery of payments. Execution of security agreements by commissioner.

Section 17b-340d. - Acuity-based methodology for Medicaid reimbursement of nursing home services. Regulations.

Section 17b-340e. - Rate increases for nursing home employee wage enhancements. Penalties for failure to apply rate increases to wage enhancements.

Section 17b-341. (Formerly Sec. 17-314a). - Self-pay rates regulated. Provider agreement. Rate adjustments. Appeals.

Section 17b-342. (Formerly Sec. 17-314b). - Connecticut home-care program for the elderly.

Section 17b-342a. - Pilot program to provide personal care assistance under the home-care program for the elderly.

Section 17b-342b. - Waiver application re pilot program to provide personal care assistance under the home-care program for the elderly.

Section 17b-343. (Formerly Sec. 17-314c). - Rates of payment for home care services, transportation, mental health counseling and meals on wheels.

Section 17b-343a. - Payment of claims for home health services provided under Medicare and Medicaid. Liability. Sanctions.

Section 17b-344 and 17b-345. (Formerly Secs. 17-314d and 17b-314e). - Rates of payment to facilities for room, board and services. Self-pay rates in licensed chronic and convalescent nursing homes and rest homes with nursing supervision based on cert...

Section 17b-346. (Formerly Sec. 17-314f). - Chronic and convalescent nursing facility: Title XIX Medicaid program participant. Provider agreement.

Section 17b-347. (Formerly Sec. 17-314g). - Termination of Medicaid provider agreements by nursing home facilities. Rates to be charged self-pay patients.

Section 17b-347e. - Demonstration project for provision of subsidized assisted living services for persons residing in affordable housing. Memorandum of understanding.

Section 17b-348. (Formerly Sec. 17-314h). - Demonstration project: Skilled and intermediate nursing home care for persons with AIDS. Rate. Regulations.

Section 17b-349. (Formerly Sec. 17-314i). - Adjustment of rates of payment to community health centers participating in Medicaid program.

Section 17b-350. (Formerly Sec. 17-314n). - Demonstration program for respite care in nursing homes for self-pay patients.

Section 17b-351. (Formerly Sec. 19a-155a). - Nursing homes. Increased bed capacity. Capital construction project.

Section 17b-352. - Petitions for closure, certificate of need for nursing home facilities; transfer of ownership or control; introduction of additional function or service; relocation of facility beds; termination or decrease of service. Requirements...

Section 17b-353. - Certificate of need; capital expenditures, application request requirements. Hearings. Exceptions to hearing requirements. Regulations.

Section 17b-354. - Moratorium on requests for additional nursing home beds. Exceptions. Continuing care facility. Medicaid nursing facility bed relocation. Construction. Financing. Regulations.

Section 17b-354a. - Judicial enforcement.

Section 17b-354b and 17b-354c. - Relocation of Medicaid certified nursing home beds. Conversion intermediate care facility beds to nursing home beds. Regulations.

Section 17b-355. - Certificate of need for capital expenditures; transfer of ownership or control; criteria.

Section 17b-356. - Health care facility proposing to expand services by adding nursing home beds. Procedures.

Section 17b-357. (Formerly Sec. 17-134v). - Nursing facility: Compliance with federal law. Summary order. Temporary manager. Remedies. Regulations. Penalties. Hearing.

Section 17b-358. (Formerly Sec. 17-134w). - Temporary manager: Powers and duties. Regulations. Certification.

Section 17b-359. (Formerly Sec. 17-134x). - Nursing facility: Preadmission screening process in the case of mentally ill persons. Annual resident review. Appeal.

Section 17b-360. (Formerly Sec. 17-134y). - Nursing facility: Preadmission screening process in the case of persons with intellectual disability or condition related thereto. Appeal.

Section 17b-361. (Formerly Sec. 17-134hh). - Payment for physicians' visits to Medicaid patients in nursing homes.

Section 17b-362. (Formerly Sec. 17-134ii). - Ten-day limit on first time maintenance drug prescription for Medicaid or ConnPACE recipient. Five-day supply of prescription drug may be requested for Medicaid patient.

Section 17b-362a. - Pharmacy review panel established.

Section 17b-363. - Demonstration program for exploring methods of returning and dispensing prescription drugs which have been dispensed in long-term care facilities.

Section 17b-363a. - Return of unused prescription drugs dispensed in long-term care facilities to vendor pharmacies. Requirements. Regulations. Fines. Annual list of drugs in program.

Section 17b-363b. - Reimbursement for pharmacy services for long-term care facilities.

Section 17b-364. - Demonstration program for providing specialized long-term care. Requests for proposals.

Section 17b-365. - Assisted living services pilot program. Medicaid waiver program.

Section 17b-366. - Assisted living services pilot program. State-funded program.

Section 17b-367. - Information on long-term care options. Web site.

Section 17b-368. - Pilot project for diagnosis, care and treatment of persons with chronic or geriatric mental conditions.

Section 17b-369. - Money Follows the Person demonstration project. Reports. Strategic plan to rebalance Medicaid long-term care supports and services. Data collection system. Notice if resident is likely to become eligible for Medicaid. Waivers.

Section 17b-370. - Demonstration project to provide home and community-based long-term care services. Development of plan. Implementation.

Section 17b-371. - Long-Term Care Reinvestment account. Report.

Section 17b-372. - Small house nursing homes pilot program.

Section 17b-372a. - Nursing home for persons transitioning from correctional facility or receiving services from Department of Mental Health and Addiction Services.

Section 17b-373. - Medicaid applications for long-term care. Legal rights of applicants. Department legal rights advisory.

Section 17b-374 to 17b-399. - Reserved for future use.