Regulations of Connecticut State Agencies (Last Updated: June 14,2023) |
Title17 Public Assistance and Welfare Services |
SubTitle17-311-1_17-311-209. Cost Related Reimbursement System for Long-Term Care Facilities |
Sec.17-311-60a. Definitions
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The following terms are defined pursuant to Section 17-314 (b), of the Connecticut General Statutes.
(a) "Other allowable services" are defined as those services provided by the types of providers listed below to the extent that the cost of said services are not included in the calculation of the per diem rate of the facility.
(1) Physicians
(2) Dentists
(3) Other practitioners (e.g., podiatrists, and optometrists)
(4) Laboratories
(5) Pharmacies
(6) Physical therapists, speech therapists and occupational therapists
(7) Providers of transportation to other medical services
(8) Other medical services except for nursing facility and inpatient hospital care
(b) "Out-of-state per patient day Medicaid rate" is defined as that rate paid by the other state for routine patient care plus any additional amounts paid for by the other state.
(c) A "state" is defined as any state, commonwealth, territory, district or other governmental entity participating in the Medicaid program.
(Effective December 5, 1986)