Current through October 16, 2024
Section 17-205a-2 - Payment of transportation expenses(a) Upon receipt of a bill from any provider of transportation to any qualified person under § 17-205a(b) and this regulation, the department shall request that the Department of Administrative Services conduct an investigation to determine if such person is able to pay for the service provided. The department shall pay the expenses of the transportation, provided: (1) The transportation was necessary. A. Proof of necessity shall be: 1. In the case of a person transported under an emergency certificate, the person signing the emergency certificate shall certify that the transportation was necessary.2. In the case of voluntary patients or patients on leave, the provider shall certify that the patient requested the transportation. The receiving facility may be requested to verify that the transportation was necessary, considering the patient's circumstances at the time of the request for transportation.(2) In the case of a person transported under subdivision (1) of (§ 17-205a(b)), the transportation was from a state-aided, town-aided or other municipal-aided hospital to a state-operated facility.A. Information as to the origin and destination must be stated on Form MHCC-15, Transportation Authorization/Certification, submitted with the provider's bill.(3) In the case of persons transported under subdivisions (2) (voluntary patients) and (4) (patients on leave) of § 17-205a(b), the destination was a state-operated facility.(4) In the case of persons transported under subdivision (3) (alcohol patients) of § 17-205a(b), the destination was a licensed public treatment facility. A. In the case of a person transported under the authority of § 17-155x, the provider must submit on Form MHCC-15, Transportation Authorization/Certification, the signature of the person signing the emergency certificate, certifying that transportation is necessary.(5) The transportation was for one of the reasons enumerated in § 17-205a(b). A. The reason for the transportation must be stated on Form MHCC-15, Transportation Authorization/Certification, which must be submitted with the provider's bill for services rendered.(6) The Department of Administration Services has not determined through its investigation that the person transported is able to pay the expenses of his or her transportation. A. The department may pay bills submitted pending the outcome of the investigation. If the investigation shows the person is able to pay, the provider shall be required to return any payment made on that person's behalf by the department, or, in the alternative, that payment will be applied to subsequent bills.(7) The bill is presented to the department prior to the expiration of one year since the date of the delivery of service. A. Any partial payment received from any source (patient, third party, Medicare, etc.) must be indicated on the provider's bill which is presented to the department. (1) The department shall pay only for what it is otherwise liable and which the patient is unable to pay.B. Providers must return any payment made by the department where payment has been obtained from any other source, either prior to or subsequent to payment by the department.Conn. Agencies Regs. § 17-205a-2