Conn. Agencies Regs. § 17-311-160

Current through October 16, 2024
Section 17-311-160 - Maximun allowable charges to self-pay patients
(a) Effective July 1, 1980, and annually thereafter, the Commissioner of Income Maintenance (hereinafter referred to as Commissioner) shall authorize the maximum allowable charges to self-pay patients (hereinafter referred to as self-pay charges) for routine services as defined in Section 17-311-161 below in private and semiprivate accommodations of licensed chronic and convalescent hospitals, rest homes with nursing supervision and licensed homes for the aged, as defined in Section 19-576 of the general statutes (hereinafter referred to as facilities). The self-pay charges shall be determined on the basis of the cost related reimbursement system used for determining per diem rates of payment to long-term care facilities in the State of Connecticut as set forth in Section 17-311-50 through Section 17-311-57 of these regulations, (hereinafter referred to as State rates), except as prescribed by the regulations below.
(b) Notwithstanding section 17-311-161 below, self-pay charges authorized by the commissioner may not be less than the state rates established for each facility. Therefore, a facility must increase its self-pay charge to the state rate or the state rate shall be lowered to the self-pay charge.
(c) Self-pay charges determined pursuant to the regulations herein shall be deemed to constitute reimbursement for all reasonable costs related to patient care plus a profit or an operating surplus and a fair rate of return on invested capital or equity. Therefore, no request for an increase, except as provided in section 17-311-167 shall be heard by the commissioner.
(d) No facility may charge its self-pay patients more than permitted by emergency regulation 17-311-159 until the July 1, 1980 self-pay charges become effective.

Conn. Agencies Regs. § 17-311-160

Effective March 17, 1983