Section 17b-262-798 - Goods and services not coveredThe department shall not pay providers for:
(a) Any hearing aid that is of an unproven, experimental or research nature or for services 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;(b) any hearing aid prescribed and ordered for a client who:(1) Dies prior to delivery of the item; or(2) is not otherwise eligible on the date of delivery. It shall be the provider's responsibility to verify that the client is eligible on the date the item is delivered;(c) the purchase or repair of a hearing aid necessitated by inappropriate, willful or malicious misuse on the part of the client, as determined by the department;(d) any hearing aid or supply provided for cosmetic reasons;(e) a hearing aid for a client in a nursing facility, ICF/MR, chronic disease hospital, hospital or other facility if the hearing aid is included in the facility's per diem Medicaid rate; or(f) a hearing aid that can be billed to another payer.Conn. Agencies Regs. § 17b-262-798
Adopted effective July 11, 2011