Sec. 17b-263. (Formerly Sec. 17-274b). Utilization of outpatient mental health services. Contract for services. Rates.
Sec. 17b-263. (Formerly Sec. 17-274b). Utilization of outpatient mental health
services. Contract for services. Rates. (a) The Commissioner of Social Services shall
extend the provisions of section 17-134d-11 of the regulations of Connecticut state
agencies to monitor and control Medicaid recipient utilization of outpatient mental
health services. The commissioner shall contract, through a competitive bidding process,
for recipient surveillance and review services. Such contract shall authorize the imposition of utilization controls, including but not limited to, prior authorization requirements
based on medical appropriateness and cost effectiveness.
(b) The rate paid for hospital outpatient mental health therapy services, except for
partial hospitalization and other comprehensive services as defined by the commissioner, shall be that established in subsection (d) of section 17b-239 for an outpatient
clinic visit. Payment for partial hospitalization services shall be considered payment in
full for all outpatient mental health services.
(June Sp. Sess. P.A. 91-8, S. 10, 63; P.A. 93-262, S. 1, 87.)
History: P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and
department of income maintenance, effective July 1, 1993; Sec. 17-274b transferred to Sec. 17b-263 in 1995.
Cited as "17b-260 et seq. (providing for supplemental medical assistance)". 233 C. 557.