Conn. Agencies Regs. § 17b-262-706 - Service limitations

Current through August 18, 2021

(a) the department shall pay to reserve a bed in a nursing facility for a Medicaid resident during a temporary absence in a hospital or a temporary absence for home leave in accordance with the provisions of section 19a-537 of the Connecticut General Statutes.
(b) Payment shall be made for the date of admission and not for the date of discharge. Exceptions to this are:
(1) Payment may be made for the date of death when the resident dies in the nursing facility. If the resident dies while in the hospital or on home leave, the date of death may be paid as a reserve bed day, provided all other bed reservation requirements as described in section 19a-537 of the Connecticut General Statutes are met; and
(2) In the case of a resident admitted and discharged on the same day, payment shall be made for one day of care.
(c) The department shall not pay nursing facilities that are characterized as institutions for mental diseases (IMD) except for services to clients aged 65 and older or under age 22 in accordance with section 17-134d-68 of the Regulations of Connecticut State Agencies and 42 CFR 435.1008.

Notes

Conn. Agencies Regs. § 17b-262-706
Adopted effective March 1, 2002

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