Section 17a-248-12 - Insurance(a) Programs shall be responsible for billing insurance.(b) A parent shall be responsible for the reimbursement of costs for IFSP early intervention services included in an eligible child's IFSP from insurance and through parent contributions established in the schedule of contributions in subsection (a) of section 17a-248-13 of the Regulations of Connecticut State Agencies.(c) No right of recovery shall be sought from a parent whose insurance policy is required to provide coverage for IFSP early intervention services pursuant to sections 38a-490a and 38a-516a of the Connecticut General Statutes.(d) A parent who has an insurance policy that is not required to provide coverage for IFSP early intervention services pursuant to sections 38a-490a and 38a-516a of the Connecticut General Statutes may assign to the lead agency the right of recovery which the parent has against the parent's insurer for the cost of IFSP early intervention services for which the parent is liable. If a parent who has an insurance policy that is not required to provide coverage for IFSP early intervention services pursuant to sections 38a-490a and 38a-516a of the Connecticut General Statutes does not assign to the lead agency the right of recovery, the parent shall be charged a monthly insurance co-payment based on the schedule of insurance co-payments in subsection (b) of section 17a-248-13 of the Regulations of Connecticut State Agencies in addition to any contribution that applies to a parent whose insurance policy is required to provide coverage for IFSP early intervention services pursuant to sections 38a-490a and 38a-516a of the Connecticut General Statutes, an uninsured parent, or a parent who assigns to the lead agency the right of recovery. The total reimbursement from insurance and parent contributions shall not exceed the actual cost for IFSP early intervention services.(e) An uninsured parent shall make a contribution to the lead agency based on the schedule of contributions in subsection (a) of section 17a-248-13 of the Regulations of Connecticut State Agencies.(f) A parent who has an insurance policy and does not assign to the lead agency the right of recovery shall be charged a monthly insurance co-payment based on the schedule of insurance co-payments in subsection (b) of section 17a-248-13 of the Regulations of Connecticut State Agencies in addition to any contribution that applies to a parent whose insurance policy is required to provide coverage for IFSP early intervention services pursuant to sections 38a-490a and 38a-516a of the Connecticut General Statutes, an uninsured parent, or a parent who assigns to the lead agency the right of recovery.(g) A parent of a child, who is eligible for Medicaid, shall not be required to make any contribution.Conn. Agencies Regs. § 17a-248-12
Effective June 29, 1998; Amended August 30, 2004; Amended April 19, 2010; Amended July 2, 2014