Conn. Agencies Regs. § 17b-262-842

Current through December 27, 2024
Section 17b-262-842 - Services not covered
(a) When a client elects the hospice benefit, the client waives his or her right to receive the following services under Medicaid:
(1) treatment intended to cure the terminal illness;
(2) treatment related to the terminal illness except for the treatment provided by the designated hospice;
(3) hospice services provided by a provider other than the one designated by the client on the hospice form submitted to the department. However, the provider may subcontract with another hospice for services as described is section. 17b-262-838(f); and
(4) any services that are duplicative of any service provided by the hospice provider with the exception of services of the client's attending physician.
(b) In order for charges to be billed separately, the provider shall first demonstrate that the service is not related to the terminal illness.
(c) The department shall not pay for services that are not medically necessary and medically appropriate.

Conn. Agencies Regs. § 17b-262-842

Adopted effective July 7, 2009