Section 17b-262-459 - Billing procedures(a) Claims from psychiatrists 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 psychiatrist's usual and customary charge for the services delivered.(c) When a Medical Assistance Program client is referred to a psychiatrist for consultation, the consultant psychiatrist shall include the referring practitioner's provider number and name. If no provider number has been assigned, the consultant psychiatrist shall enter the entire name as well as the state license number of the referring physician on the billing form.(d) Psychiatric consultations in the hospital, home, or long-term care facility shall be billed as a comprehensive consultation.(e) All charges billed for supplies and materials provided by a psychiatrist, except glasses, shall be reviewed by the department.Conn. Agencies Regs. § 17b-262-459
Adopted effective May 11, 1998