Section 17b-262-733 - Billing procedures(a) Claims from home health care agencies shall be submitted on the department's designated form or electronically transmitted to the department or its agent, in a form and manner as specified by the department, and shall include all information required by the department to process the claim for payment.(b) The provider shall bill the usual and customary charge and the department shall pay the lowest of: (1) the provider's usual and customary charge;(2) the lowest non-managed care Medicare rate;(3) the amount in the applicable fee schedule as published by the department; or(4) the amount billed by the provider to the department.Conn. Agencies Regs. § 17b-262-733
Adopted effective March 7, 2007