Section 17b-262-474 - Billing procedures(a) Claims from psychologists 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 psychologist's usual and customary charge for the services delivered.(c) Claims submitted for services not requiring prior authorization shall include the name of the physician, person, or agency making the referral-if there was a referral.(d) When a psychologist is requested to attend a staff conference for a Medical Assistance Program client, the name of the referring practitioner, clinic, or agency shall be entered in the appropriate section of the claim form.(e) Neuropsychological evaluations shall be billed as one unit regardless of the number of sessions.Conn. Agencies Regs. § 17b-262-474