Section 17b-262-658 - 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) Notwithstanding the provisions of subsection (a) of this section and subject to the approval of the department, a provider may charge or accept a lesser amount based on a showing by the provider of financial hardship to an individual enrollee without affecting the amount paid by the department for the same or substantially similar goods or services.Conn. Agencies Regs. § 17b-262-658
Adopted effective May 10, 2000