Section 17b-262-823 - Services not coveredThe department shall not pay for the following:
(1) Information or services provided to a client over the telephone;(2) Cancelled services and appointments not kept;(3) Any services, treatment or items for which the provider does not usually charge;(4) Any procedures or services whose purpose is solely educational, social, research, recreational, experimental or generally not accepted by medical practice;(5) Any behavioral health clinic service in excess of those deemed medically necessary by the department to treat the client's condition; or for services not directly related to the client's diagnosis, symptoms or medical history;(6) Any service not included in the plan of care when treatment is recommended;(7) Any service requiring authorization or registration for which the provider did not obtain such authorization or registration; or(8) Off-site and certain other services, including but not limited to: Emergency mobile psychiatric services; home and community based rehabilitation services; and extended day treatment provided only as children's rehabilitation services, as described in sections 17b-262-849 to 17b-262-861, inclusive, of the Regulations of Connecticut State Agencies. Such services are reimbursed as part of the rehabilitation option services rather than as a behavioral health clinic service.Conn. Agencies Regs. § 17b-262-823
Effective October 9, 2013