Section 17b-262-917 - Service limitationsThe department shall pay for covered services only in accordance with the treatment plan and with the following additional limits:
(1) Only one diagnostic interview in any twelve-month period per licensed behavioral health clinician per client;(2) only one unit of individual counseling or individual psychotherapy per client, per day;(3) only one unit of family counseling or family psychotherapy per client, per day;(4) only one unit of group counseling or group psychotherapy per client, per day;(5) group psychotherapy sessions shall include a maximum of twelve participants per group session, to the extent clinically appropriate, regardless of each participant's payment source, and the provider shall document the number of participants in each session in the client's chart;(6) family, group and multiple-family group psychotherapy sessions shall be at least forty-five minutes in length, and the provider shall document the length of time of each session in the client's chart;(7) family and multiple-family group psychotherapy shall be reimbursable for one identified family member client per session, without regard to the number of family members in attendance or the presence of behavioral health conditions among other family members in attendance; and(8) multiple-family group psychotherapy shall include a maximum of twenty-four participants per group regardless of each participant's payment source, shall include members of at least two unrelated families and the provider shall document the number of participants in each session in the client's chart.Conn. Agencies Regs. § 17b-262-917
Effective December 28, 2012