Conn. Agencies Regs. § 17a-248-12 - Insurance
(a) Programs shall be responsible for billing
insurance.
(b) A parent shall be
responsible for the reimbursement of costs for IFSP early intervention services
included in an eligible child's IFSP from insurance and through parent
contributions established in the schedule of contributions in subsection (a) of
section
17a-248-13
of the Regulations of Connecticut State Agencies.
(c) No right of recovery shall be sought from
a parent whose insurance policy is required to provide coverage for IFSP early
intervention services pursuant to sections
38a-490a
and
38a-516a
of the Connecticut General Statutes.
(d) A parent who has an insurance policy that
is not required to provide coverage for IFSP early intervention services
pursuant to sections
38a-490a
and
38a-516a
of the Connecticut General Statutes may assign to the lead agency the right of
recovery which the parent has against the parent's insurer for the cost of IFSP
early intervention services for which the parent is liable. If a parent who has
an insurance policy that is not required to provide coverage for IFSP early
intervention services pursuant to sections
38a-490a
and
38a-516a
of the Connecticut General Statutes does not assign to the lead agency the
right of recovery, the parent shall be charged a monthly insurance co-payment
based on the schedule of insurance co-payments in subsection (b) of section
17a-248-13
of the Regulations of Connecticut State Agencies in addition to any
contribution that applies to a parent whose insurance policy is required to
provide coverage for IFSP early intervention services pursuant to sections
38a-490a
and
38a-516a
of the Connecticut General Statutes, an uninsured parent , or a parent who
assigns to the lead agency the right of recovery. The total reimbursement from
insurance and parent contributions shall not exceed the actual cost for IFSP
early intervention services.
(e) An
uninsured parent shall make a contribution to the lead agency based on the
schedule of contributions in subsection (a) of section
17a-248-13
of the Regulations of Connecticut State Agencies.
(f) A parent who has an insurance policy and
does not assign to the lead agency the right of recovery shall be charged a
monthly insurance co-payment based on the schedule of insurance co-payments in
subsection (b) of section
17a-248-13
of the Regulations of Connecticut State Agencies in addition to any
contribution that applies to a parent whose insurance policy is required to
provide coverage for IFSP early intervention services pursuant to sections
38a-490a
and
38a-516a
of the Connecticut General Statutes, an uninsured parent , or a parent who
assigns to the lead agency the right of recovery.
(g) A parent of a child, who is eligible for
Medicaid, shall not be required to make any contribution.
Notes
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