Section 17b-262-922 - Payment(a) Licensed behavioral health clinicians who are fully or partially compensated by a Medicaid participating general hospital, public or private institution, freestanding clinic or federally qualified health center shall not receive payment from the department for services rendered at such entities unless the licensed behavioral health clinician maintains an office for private practice at a separate location from the entity referenced above where the licensed behavioral health clinician is employed. The licensed behavioral health clinician shall bill the department only for a service provided to a client whose overall treatment is provided through the provider's private practice, although each individual service may be provided either at the practice, the client's home or in the community.(b) Payment for services directly performed by a licensed behavioral health clinician in private practice 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 department's applicable fee schedule.Conn. Agencies Regs. § 17b-262-922
Effective December 28, 2012