Conn. Agencies Regs. § 17a-230-12

Current through December 27, 2024
Section 17a-230-12 - Reauthorization
(a) Client reauthorization for funding, as defined in these regulations, shall be conducted for each funded individual by the department on at least an annual basis.
(b) Reauthorization may be conducted more frequently at the request of the individual, his legal representative, the private provider providing residential services, or the department. Justification for any such request may include:
(1) change of client's functioning which would warrant a different level of care, or
(2) emergency transfer of the client in accordance with Section 13 of these regulations.
(c) Reauthorization shall include a review of the client's record to:
(1) verify diagnosis of mental retardation as defined in these regulations;
(2) determine the client's appropriateness for the level of care provided by the private residential facility where he resides at the time of reauthorization using criteria for levels of care established in Section 7 (b) of these regulations, and
(3) determine the client's financial eligibility for funding according to criteria established in Section 7 (c) and 7 (d) of these regulations.
(d) Reauthorization at the same level of care shall occur when the department determines:
(1) that the individual is mentally retarded as defined in these regulations,
(2) that the individual is financially eligible for funding, and
(3) that the individual is (A) appropriate for his current level of care (B) appropriate for a different level of care which is not currently available in either his current private residential facility or in another private residential facility within the regional center catchment area, or (C) appropriate for a different level of care but a transfer is clinically contraindicated at the time.
(e) Reauthorization at a different level of care shall occur when the department determines (1) that the individual is mentally retarded as defined in these regulations, (2) that the individual is financially eligible for funding, and (3) that the client is inappropriate for current level of care but the appropriate level of care is available in either his current private residential facility or in another private residential facility within the regional center catchment area and transfer is not clinically contraindicated at the time.
(f) The department shall provide notice in writing within thirty days of any review to all individuals subject to the reauthorization process regarding its decision of (1) reauthorization at the same level of care, (2) reauthorization at a different level of care, or (3) denial of reauthorization. Copies of such notice shall be sent to the provider operating the private residential facility in which the client currently resides and the appropriate parties of the department according to procedures established to implement these regulations.

Conn. Agencies Regs. § 17a-230-12

Effective June 28, 1994