Conn. Agencies Regs. § 17b-262-624

Current through December 27, 2024

Section 17b-262-624 - Services not covered

The department shall not pay a podiatrist:

(1) for information or services provided to a client by a podiatrist over the telephone;

(2) for any product available to podiatrists free of charge;

(3) for more than one visit per day per client to the same podiatrist;

(4) for cosmetic surgery;

(5) for simplified tests requiring minimal time or equipment and employing materials nominal in cost, including, but not limited to, urine testing for glucose, albumin and blood;

(6) for simple foot hygiene;

(7) for repairs to devices judged by the department to be necessitated by willful or malicious abuse on the part of the client;

(8) for repairs to devices under guarantee or warranty. The podiatrist shall first seek payment from the manufacturer;

(9) for an office visit for the sole purpose of the client obtaining a prescription where the need for the prescription has already been determined;

(10) for cancelled services and appointments not kept;

(11) for services provided in a general hospital if the department determines the admission does not, or retrospectively did not, fit the department's utilization review requirements pursuant to section 17-134d-80 of the Regulations of Connecticut State Agencies; or

(12) for any procedures or services of an unproven, educational, social, research, experimental or cosmetic nature; for any diagnostic, therapeutic or treatment services in excess of those deemed medically necessary and medically appropriate by the department to treat the client's condition; or for services not directly related to the client's diagnosis, symptoms or medical history.

Conn. Agencies Regs. § 17b-262-624

Adopted effective February 11, 2009