Section 17b-262-501 - Provider participationIn order to enroll in the Medical Assistance Program and receive payment from the department, providers shall meet the following requirements:
(a)General:(1) meet and maintain all applicable licensing, accreditation, and certification requirements;(2) meet and maintain all departmental enrollment requirements; and(3) have a valid provider agreement on file which is signed by the provider and the department upon application for enrollment into the Medical Assistance Program. This agreement, which shall be periodically updated, shall continue to be in effect for the duration of the agreement or for the stated period in the agreement. The provider agreement specifies conditions and terms which govern the program and to which the provider is mandated to adhere in order to participate in the program.(b)Specific:(1) providers of inpatient psychiatric services shall be licensed, when appropriate, by the state and accredited as a psychiatric hospital by the Joint Commission on Accreditation of Healthcare Organizations, and(2) psychiatric hospitals outside of Connecticut shall meet all of the above provider requirements. They shall also be an enrolled Medical Assistance Program provider in their state of residence, when that state participates in the optional program of Medical Assistance Program psychiatric inpatient services provided to clients age twenty-one and under and age sixty-five and over.Conn. Agencies Regs. § 17b-262-501
Adopted effective March 6, 1998