Section 17b-262-655 - Services covered and limitationsSubject to the limitations and exclusions listed below and those set forth in the Regulations of Connecticut State Agencies dealing with physicians, general hospitals, and freestanding dialysis clinics, the department shall pay for dialysis services which conform to accepted methods of diagnosis and treatment.
(a) The department shall pay for the following:(1) for services provided by an enrolled provider in a home, clinic, hospital, or institution having an organized and approved dialysis program; and(2) for HealthTrack Services and HealthTrack Special Services.(b) The department shall not pay for the following: (1) cancelled office visits and appointments not kept;(2) information or services provided to a client by a provider over the telephone;(3) any examinations, laboratory tests, biological products, immunizations, or other products which are furnished free of charge; and(4) for any procedures or services of an unproven, educational, social, research, experimental, or cosmetic nature; for any diagnostic, therapeutic, or treatment services in excess of those deemed medically necessary and medically appropriate by the department to treat the client's condition; or for services not directly related to the client's diagnosis, symptoms, or medical history.Conn. Agencies Regs. § 17b-262-655
Adopted effective May 10, 2000