Section 17b-262-615 - Billing procedures(a) Claims from nurse practitioners shall be submitted on the department's designated form or electronically transmitted to the department's fiscal agent and shall include all information required by the department to process the claim for payment.(b) The amount billed to the department shall represent the nurse practitioner's usual and customary charge for the services delivered.(c) When a Medical Assistance Program client is referred to a provider for consultation, the consultant provider shall include the referring practitioner's provider number and name. If no provider number has been assigned, the consultant provider shall enter the entire name as well as the state license number of the referring provider on the billing form.(d) Injectables shall be billed according to the number of units administered to the client by the nurse practitioner.(e) When billing for anesthesia services, providers shall include the name of the primary surgeon on the bill and enter the total number of minutes in units.(f) Providers shall bill for drugs or devices which are dispensed directly to the client as separate line items.(g) All charges billed for supplies and materials provided by a provider, except glasses, shall be reviewed by the department.Conn. Agencies Regs. § 17b-262-615
Effective August 10, 1998