Conn. Agencies Regs. § 17a-230-1 - Definitions
(a) "
Admission " means a private
residential facility 's acceptance of an individual into residence.
(b) "
Authorization " means the
department of mental retardation's acceptance of responsibility for
programmatic payment for an individual.
(c) "
Case review " means
examination of referral materials, records of decision making process of
regional eligibility teams or private providers, and additional information as
needed for the purposes of determining whether or not a person subjected to the
authorization process or selection process for residential placement in a
private residential facility had been unreasonably denied fair
consideration.
(d)
"
Commissioner " means the commissioner of the department of mental
retardation.
(e)
"
Department " means the department of mental retardation.
(f)
"Emergency placement " means
the admission of an individual into a private residential facility for reasons
considered emergency by the provider (ex: an individual rendered homeless or
where his or her principal caretaking person becomes unavailable).
(g) "
Existing facilities " means
private residential facilities except community training homes, residential
schools or habilitative nursing facilities, licensed under 19a-467 on or before
September 30, 1983.
(h) "
Fair
hearing " means the right of the mentally retarded person or private
provider to request a hearing or review for the purposes of providing
additional information and requesting a decision or justification of
determinations made under the provisions of this statute and
regulations.
(i)
"
Grandfathered individual " means a person residing in a private
residential facility licensed by the department and receiving state payment for
the cost of such services prior to October 1, 1983 or any person who is
admitted to a private residential facility for the mentally retarded after
October 1, 1983, and not later than December 31, 1983, which private
residential facility is licensed by the department after October 1, 1983 and
who is receiving state payment for the cost of such services, if (1) not later
than July 15, 1983, the applicant for licensure owns or has an interest in the
private residential facility or land upon which the private residential
facility shall be located, or concludes a closing transaction on any mortgage
loan secured by mortgage on such private residential facility or land, (2) such
private residential facility is licensed not later than December 31, 1983, and
(3) the applicant for licensure presents evidence to the commissioner that
commitments had been made by such applicant not later than July 15, 1983, for
the placement of individuals in such private residential facility.
(j) "
Impartial individual " means
a person who has had at least two years experience related to residential
services to mentally retarded persons and has not participated in any decision
on the clients' eligibility or level of care.
(k) "
Level of care " means that
degree of supervision, programming and intervention necessary to meet the needs
of a given population or individual.
(l) "Mentally retarded person "
means an individual with significant sub-average general intellectual
functioning existing concurrently with deficits in adaptive behavior and
manifested during the developmental period.
"
(m) "Pre-authorization process"
means the method of determination by a regional eligibility team of the
clients ' eligibility for authorization or payment according to his appropriate
level of care for the purposes of providing information to private providers
essential to the development of private residential facilities and client
selection.
(n) "
Overall plan
of care " means an individual written plan of programs and services
developed, implemented, reviewed and modified according to the resident's needs
and in accordance with the department 's licensing regulations.
(o) "
Private residential
facility " means any residence licensed by the department or proposed to
be licensed by the department pursuant to Section 19a-467 CGS excluding
community training homes, residential schools and habilitative nursing
facilities.
(p) "
Private
sector client " an individual who resides in his own home, family home,
or home of friends, or is residing in a privately operated residential
program.
(q)
"
Provider " means an individual, partnership or corporation which
owns or operates a private residential program.
(r) "
Public sector client " means
an individual who lives in residential accommodations which are owned or
operated by the department or who are mentally retarded, duly considered to be
clients of the department through existing department practices, and reside in
long term care facilities licensed by the department of health
services.
(s) "
Ratios "
means the prevailing relationship between public sector clients , urgent waiting
list clients , and private sector clients for the purposes of selection of
clients for placement in private residential facilities funded by the
department under the provisions of this statute and regulations.
(t) "
Reauthorization process "
means the determination by the department that a person , previously authorized
for funding is either no longer eligible for funding or continues to be
eligible for funding and, if still eligible for funding whether at the same
level of care.
(u)
"
Referral " means the written presentation of essential information
regarding a public sector, urgent waiting list or private sector client to a
regional eligibility team upon which determination shall be made of that
client's eligibility for authorization in accordance with these
regulations.
(v) "Residential
service s" means the provision of intervention, support or training
appropriate to a level of care available in a private residential facility to
meet the needs of mentally retarded persons and include direct care,
administrative and support staff as well as other resources specified in these
regulations which are necessary to ensure the provisions of such
services.
(w)
"
Respite " means the temporary emergency or relief placement of a
mentally retarded person into a private residential facility for the purposes
of providing food, shelter and supervision to that person for a period not to
exceed thirty days.
(x)
"Supplemental case review " means a formal examination by an
impartial third party of case review materials for which additional information
and testimony may be given for the purposes of determining whether or not the
individual has been unreasonably denied fair consideration during the
authorization or selection process.
(y) "
Transfer " means the process
by which the department shall coordinate efforts to secure an appropriate
alternative residential placement for an individual who is not reauthorized for
funding or not reauthorized at his present level of care.
(z) "
Urgent waiting list client "
means an individual who is considered to be a client of the department through
existing department practices who has met the existing department criteria of
urgent need for residential placement as determined clinically through
interdisciplinary team review, and whose name is maintained by the department
on waiting lists for residential placement.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.