Connecticut General Statutes
Chapter 319y - Long-Term Care
Section 17b-343. (Formerly Sec. 17-314c). - Rates of payment for home care services, transportation, mental health counseling and meals on wheels.

The Commissioner of Social Services shall establish annually the maximum allowable rate to be paid by agencies for homemaker services, chore person services, companion services, respite care, meals on wheels, adult day care services, case management and assessment services, transportation, mental health counseling and elderly foster care. The Commissioner of Social Services shall prescribe uniform forms on which agencies providing such services shall report their costs for such services. Such rates shall be determined on the basis of a reasonable payment for necessary services rendered. The maximum allowable rates established by the Commissioner of Social Services for the Connecticut home-care program for the elderly established under section 17b-342 shall constitute the rates required under this section until revised in accordance with this section. The Commissioner of Social Services shall establish a fee schedule, to be effective on and after July 1, 1994, for homemaker services, chore person services, companion services, respite care, meals on wheels, adult day care services, case management and assessment services, transportation, mental health counseling and elderly foster care. The commissioner may annually increase the fee schedule based on an increase in the cost of services. The commissioner shall increase the fee schedule effective July 1, 2000, by not less than five per cent, for adult day care services. The commissioner shall increase the fee schedule effective July 1, 2011, by four dollars per person, per day for adult day care services. The commissioner shall increase the fee schedule effective July 1, 2019, for meals on wheels by ten per cent over the fee schedule for meals on wheels for the previous fiscal year. Effective July 1, 2020, and annually thereafter, the commissioner may increase the fee schedule for meals on wheels providers serving participants in the Connecticut home-care program for the elderly by, at a minimum, the cost-of-living adjustment as measured by the consumer price index. The commissioner may increase any fee payable to a meals on wheels provider upon the application of such provider evidencing extraordinary costs related to delivery of meals on wheels in sparsely populated rural regions of the state. Nothing contained in this section shall authorize a payment by the state to any agency for such services in excess of the amount charged by such agency for such services to the general public.

(P.A. 86-319, S. 1; P.A. 87-516, S. 4; 87-589, S. 64, 87; June Sp. Sess. P.A. 91-8, S. 21, 63; May Sp. Sess. P.A. 92-16, S. 32, 89; P.A. 93-262, S. 1, 38, 87; 93-418, S. 26, 41; 93-435, S. 59, 95; P.A. 95-160, S. 8, 69; P.A. 96-139, S. 12, 13; June Sp. Sess. P.A. 00-2, S. 17, 53; P.A. 11-44, S. 166; P.A. 19-117, S. 308; 19-157, S. 98.)
History: P.A. 87-516 provided that the commissioner of income maintenance shall establish the maximum rates in consultation with the commissioner of human resources and the commissioner on aging, added transportation and mental health counseling to the list of services, and specified the maximum allowable rates for the preadmission screening and community-based services program; P.A. 87-589 added “until revised in accordance with this section”; June Sp. Sess. P.A. 91-8 amended the section re rate determination and the rate of payment for home care services, transportation and mental health counseling; May Sp. Sess. P.A. 92-16 provided that the maximum allowable rates in effect on July 1, 1990, shall remain in effect during the fiscal year ending June 30, 1993, and provided that for the fiscal year ending June 30, 1993, any rate established in a subcontract between coordination, assessment and monitoring agencies and direct care providers shall not exceed the rate in effect on June 30, 1992, increased by the most recent annual increase in the consumer price index for urban consumers; P.A. 93-262 replaced references to commissioners of income maintenance, human resources and aging with commissioner of social services and replaced the words “preadmission screening and community-based services program” with the words “Connecticut home-care program for the elderly”, effective July 1, 1993; P.A. 93-418 required the commissioner to establish a fee schedule for home care services on and after July 1, 1994, effective July 1, 1993; P.A. 93-435 authorized substitution of commissioner of social services for commissioner of income maintenance in P.A. 93-418, effective June 28, 1993; Sec. 17-314c transferred to Sec. 17b-343 in 1995; P.A. 95-160 deleted the reference to coordination, assessment and monitoring agencies, effective July 1, 1995; P.A. 96-139 changed effective date of P.A. 95-160 but without affecting this section; June Sp. Sess. P.A. 00-2 provided that the fee schedule for adult day care services shall increase by not less than 5%, effective July 1, 2000; P.A. 11-44 added provision requiring commissioner to increase fee schedule for adult day care services and made a technical change, effective July 1, 2011; P.A. 19-117 added provision re commissioner to increase fee schedule effective July 1, 2019 for meals on wheels by 10 per cent, and made technical changes, effective July 1, 2019; P.A. 19-157 added provision re commissioner's authority to increase fee schedule for meals on wheels providers, effective July 1, 2019.

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.