Section 17b-262-219 - Limitations(a) No payments shall be made by Medicaid: (1) directly to health professionals or organizations under contract to a LEA for medically appropriate and necessary services covered under section 17b-262-218 above;(2) for services of an unproven, experimental, cosmetic or research nature or for any diagnostic, therapeutic or treatment procedures in excess of those deemed medically appropriate and necessary by the Department to treat the child's condition;(3) for any immunizations, biological products and other products or examinations and laboratory tests for preventable diseases available free of charge from the Department of Public Health;(4) for speech services involving non-diagnostic, non-therapeutic, routine, repetitive and reinforced procedures or services for the child's general good and welfare (e.g., the practicing of word drills which are not planned and performed or supervised by a licensed speech pathologist);(5) for services which are provided free of charge to all students such as routine screenings; or(6) for cancelled visits or appointments not kept.(b) Services may be provided to an individual until the end of the school year in which a student reaches twenty-one (21) years of age.Conn. Agencies Regs. § 17b-262-219
Effective January 31, 1996; Amended May 10, 2000