Section 27-102l(d)-258 - Determination of charges(a) For any program administered by the Department of Veterans' Affairs, the per diem charge or fee shall be inclusive of all services provided to the veteran in that program on that day, unless that service is billed separately as declared by the Commissioner each year when publishing the various rates for each program. The applicable per diem fee depends upon whether the veteran resides in the Health Care Facility or in the Residential Facility.(b) The daily charge for Health Care Facility residents, who have been determined to be eligible to participate in the Medicaid program, shall be equal to the Title XIX Medicaid rate that is set annually by the Department of Social Services for purposes of administering the Medicaid program. Residents are charged monthly based upon the applicable daily charge and the number of days in the month. The resident is obligated to contribute his monthly applied income toward the applicable charge, with the balance of the monthly charge being accepted by the Facility in the form of payment from the Medicaid program. The resident's applied income for purposes of this subsection shall be equal to his total monthly income from all sources minus any deductions that are allowed by the Department of Social Services for purposes of determining the patient's liability to contribute his income towards the cost of care, including but not limited to, the monthly personal needs allowance that is allowed by said Department, minus an additional ninety dollars per month that is allowed by the Facility as a veteran allowance. In accordance with the provisions of 38 U.S.C. § 1741(e), per diem allowances that are paid by the United States Department of Veterans Affairs are not counted as income to the resident and are not counted as a third party payment that reduces the Medicaid payment amount.(c) The daily charge for Health Care Facility residents, who have not been determined Medicaid eligible to participate in the Medicaid program, shall be equal to the daily per capita cost of providing care at the Health Care Facility, as determined by the State Comptroller annually. Residents shall be charged monthly based upon the applicable daily charge and the number of days in the month. Per diem allowances that are paid by the United States Department of Veterans Affairs on behalf of the veteran shall be applied towards the charge to the resident.(d) Residential Facility residents shall pay a monthly charge which is equal to the amount of the per diem allowances that are paid in the month on behalf of the resident by the United States Department of Veterans Affairs pursuant to 38 U.S.C. § 1741, plus an additional amount that the veteran is required to pay from his other own resources, which additional amount shall be set by the Facility, approved by the Board of Trustees of the Veterans' Home, and published by the Department in its Veteran Handbook.Conn. Agencies Regs. § 27-102l(d)-258
Effective January 19, 1996; Amended October 11, 2007