Section 17b-262-222 - Establishment of rates(a) The Department shall establish payment rates for three (3) types of service specific to type of placement for SBCH Services:(1) a per month per child unit rate for SBCH treatment services, specific to type of placement;(2) a rate for initial evaluations and triennial reevaluations, specific to type of placement; and(3) a rate for Durable Medical Equipment, Other Medical Supplies and Devices. Rates shall be determined based upon annual cost and utilization filings made on forms prescribed by the Commissioner of the Department, except that for the July 1, 1999 through June 30, 2000 rate period, such rates shall be determined based upon the July 1, 1996 through June 30, 1997 cost reports inflated by the increase in the consumer price index (urban-all items). Rates shall be based on cost and utilization data for all children referred for special educational services. The Commissioner may establish interim rates for the billing periods.(b) On an annual basis, except for the July 1, 1999 through June 30, 2000 period, the participating local educational agencies (LEA), shall provide to the Commissioner of the Department of Social Services, for all Medicaid eligible and non-Medicaid eligible children receiving SBCH services through such agencies, the following information and supporting documentation including, but not limited to: (1) the average monthly unduplicated count of children receiving initial evaluations for special education services by type of placement;(2) the costs of providing initial evaluations for special education services by type of placement;(3) the average monthly unduplicated count of children receiving triennial reevaluations and diagnostic testing for special education services by type of placement;(4) the costs of providing triennial reevaluations and diagnostic testing for special education services by type of placement;(5) the average monthly unduplicated count of children receiving ongoing special education-related health treatment services independent of initial evaluations and triennial reevaluations by type of placement; and(6) the costs of providing ongoing special education-related health treatment services independent of initial evaluations and triennial reevaluations by type of placement.(c) Cost and utilization data provided to the Department by the State Department of Education shall be audited in accordance with Generally Accepted Government Auditing Standards (GAGAS). Cost and utilization data shall be maintained for a minimum of six (6) years from the billing period by the LEA.
Conn. Agencies Regs. § 17b-262-222
Effective January 31, 1996; Amended May 10, 2000