Current through December 27, 2024
Section 17b-262-806 - Provider participationIn order to enroll in Medicaid and receive payment from the department, a provider shall meet the following requirements:
(a)General:(1) meet and maintain all applicable licensing, accreditation and certification requirements;(2) meet and maintain all departmental enrollment requirements; and(3) have a valid provider agreement on file which is signed by the provider and the department upon application for enrollment into Medicaid. This agreement, which shall be periodically updated, shall continue to be in effect for the duration of the agreement or for the stated period in the agreement. The provider agreement specifies conditions and terms which govern the program and to which the provider is mandated to adhere in order to participate in the program.(b)Specific:(1) be accredited in accordance with 42 CFR 441.151(a)(2);(2) satisfy all federal and state requirements governing the use of restraint and seclusion including, but not limited to, a written attestation of facility compliance with CMS standards governing the use of restraint and seclusion and filed annually with the department no later than July 1st of each year; and(3) if located outside of Connecticut, meet all of the provider requirements in subsections (a) and (b) of this section and be an enrolled Medicaid provider in the provider's state of residence, when that state participates in the optional Medicaid of inpatient psychiatric facility services provided for clients.Conn. Agencies Regs. § 17b-262-806
Adopted effective September 4, 2009