Conn. Agencies Regs. § 17b-262-918

Current through December 27, 2024
Section 17b-262-918 - Services not covered

The department shall not pay for the following behavioral health clinician services:

(1) Information or services furnished by the licensed behavioral health clinician to the client electronically or over the telephone, except for case management services provided to clients age eighteen and under;
(2) case management services provided to clients age nineteen and older;
(3) evaluations, diagnostic interviews and therapy services performed in hospital inpatient or outpatient settings;
(4) concurrent services involving the same treatment modalities for the same client by different health professionals;
(5) cancelled office visits or appointments not kept;
(6) services, treatment or items for which the provider does not usually charge;
(7) behavioral health clinician services in excess of those medically necessary to treat the client's condition;
(8) services not directly related to the client's diagnosis, symptoms or medical history;
(9) services provided by anyone other than the provider; and
(10) services that are primarily for vocational or educational guidance.

Conn. Agencies Regs. § 17b-262-918

Effective December 28, 2012