Conn. Agencies Regs. § 27-102l(d)-256

Current through December 27, 2024
Section 27-102l(d)-256 - When the ability to pay is determined and redetermined
(a) Within thirty (30) days after being admitted to any program administered by the Department of Veterans' Affairs, the Commissioner or his designee shall determine the veteran's ability to pay.
(1) The ability to pay shall be redetermined from time to time as the Commissioner may determine.
(2) The Chief Fiscal Officer may investigate any change of circumstance in a veteran's ability to pay based on information that a veteran's income or assets, both real or potential, have increased or decreased.
(3) A veteran subject to an investigation under subdivision (2) of this subsection shall:
(A) Confirm or deny the information as presented by the Chief Fiscal Officer,
(B) Provide an accurate statement of the current status of his income and assets, and
(C) Cooperate with the Chief Fiscal Officer or designee in the investigation and subsequent actions to make any such income or resource available.
(b) The ability to pay may be redetermined at any time upon a change in circumstances related to the veteran's ability to pay. A redetermination may be requested by the veteran at any time, subject to the Commissioner finding reasonable grounds to grant such.
(1) The veteran shall be required to give immediate notice to the Department of reductions or increases of income or assets, including but not limited to, inheritance, gambling, or other lump sum payments, or U.S. Department of Veterans Affairs benefits, pensions, insurance proceeds, and Social Security.
(2) Upon application from a veteran, the Commissioner may reduce the veteran's ability to pay, therefore deferring immediate payment but not reducing overall liability.
(c) The determination of the ability to pay shall yield a monthly amount that is the minimum payment due now up to the total amount of the veterans' liability for all services rendered by the Department.
(1) The Commissioner shall not demand payment of the amount of the fee for services rendered that exceeds the minimum payment due now in any month, but shall maintain a delinquent Accounts Receivable for future collection.
(2) In the event a veteran has become eligible for payment under the Medicaid program and resides in a setting that qualifies for participation in that program, the receipt of the veteran's applied income, reimbursements received on behalf of the veteran, and the Medicaid payment shall constitute payment in full of services rendered.
(A) No additional delinquent Accounts Receivable shall accrue against the veteran's account for services that shall be covered by participation in the Medicaid program.
(B) If eligibility is granted retroactively, the date of Medicaid eligibility shall be used when adjusting the delinquent Accounts Receivable.
(C) Becoming eligible for Medicaid shall not affect any recovery against the estate of a deceased veteran as may be allowed by the Department of Social Services or the Department of Veteran's Affairs or any other state agency.

Conn. Agencies Regs. § 27-102l(d)-256

Effective January 19, 1996; Amended October 11, 2007