Section 17b-262-860 - Payment(a) In order to receive payment from the department, the provider shall be enrolled in the Connecticut Medical Assistance Program and comply with the requirements of sections 17b-262-522 through 17b-262-533, inclusive, of the Regulations of Connecticut State Agencies.(b) The department shall establish rates for rehabilitation services. By enrolling in the program and providing covered rehabilitation services to individuals, the provider agrees to accept the department's rate as payment in full for rehabilitation services provided to individuals.(c) Office-based off-site rehabilitation services provided by a provider that is not a Federally Qualified Health Center shall be reimbursed at the same rate applicable to such services when provided at a primary or satellite site as provided for on the clinic's DCF license.(d) Office-based off-site rehabilitation services provided by Federally Qualified Health Centers shall be reimbursed at the Federally Qualified Health Center's psychiatric encounter rate.(e) Home and community-based rehabilitation services and EMPS provided by Federally Qualified Health Centers shall be reimbursed at the same rates paid to non-Federally Qualified Health Center providers.(f) Rates for rehabilitation services include any associated travel costs.(g) Payment shall be made at the lowest of: (1) The provider's usual and customary charge;(2) the lowest Medicare rate; or(3) the amount in the provider's rate letter or the amount on the applicable fee schedule as published by the department.Conn. Agencies Regs. § 17b-262-860
Effective February 2, 2012