Connecticut Administrative Code › Title 17a - Social and Human Services and Resources › 248 - Early Intervention Services for Infants and Toddlers and Their Families › Section 17a-248-12 - Insurance

Current through July 10, 2024
(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.