Section 17b-262-217 - Need for servicesMedicaid shall reimburse for SBCH Services provided the following requirements are met:
(a) The diagnostic and evaluation services recommended by the PPT and a licensed practitioner of the healing arts in the initial evaluation or triennial reevaluation of the child are supported by reports containing recommendations by licensed or certified practitioners within the scope of their practice as defined by state law.(b) The ongoing treatment services, as recommended by the PPT and a licensed practitioner of the healing arts, are specified in the child's IEP on file with the respective LEA. The IEP shall include, either in the IEP document itself or in an attachment to the IEP, but is not limited to: (1) applicable medical diagnoses in a format acceptable to the department;(2) anticipated treatment goals;(3) a description of the type, amount, frequency and duration of the services to be furnished;(4) identification of the type(s) of service providers(s); and(5) signature(s) of licensed practitioner(s) of the healing arts, within their scope of practice as defined by state law, recommending the plan of medical services.Conn. Agencies Regs. § 17b-262-217
Effective January 31, 1996; Amended May 10, 2000