Section 17b-262-544 - Payment(a) Payment shall be made at the lowest of: (1) the provider's usual and customary charge to the general public;(2) the lowest Medicare rate;(3) the amount in the applicable fee schedule as published by the department;(4) the amount billed by the provider; or(5) the lowest price charged or accepted for the same or substantially similar goods or services by the provider from any person or entity.(b)Payment Rate(1) The commissioner establishes the fees contained in the practitioner of chiropractic's fee schedule pursuant to section 4-67c of the Connecticut General Statutes.(2) Payment rates, as established by the commissioner, are the same for in- and out-of-state providers.(c)Payment LimitationsThe fee paid by the department for visits to a home, hospital, nursing facility, rest home, home for the aged, boarding home, or intermediate care facility for the mentally retarded (ICF/MR) shall include payment for travel and all such incidental expenses.
Conn. Agencies Regs. § 17b-262-544
Adopted effective March 6, 1998