Connecticut § 38a-518v Mandatory coverage for hospice services in the home through a hospice care program to the extent provided for inpatient hospice services.

Connecticut Statutes

§ 38a-518v — Mandatory coverage for hospice services in the home through a hospice care program to the extent provided for inpatient hospice services.

Connecticut·Title 38a Insurance·Ch. 700c Health Insurance

(a)As used in this section, “hospice care program” has the same meaning as provided in section 19a-122e.

(b)Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state shall provide coverage for hospice services provided to an insured in the home through a hospice care program, to the extent coverage is provided for inpatient hospice services in a hospital. Such coverage shall be subject to the same terms and conditions applicable to all other benefits under such policy.

(c)No such policy shall exclude a hospice service for coverage solely because such service is provided in the home and not at a hospital, provided hospice care in th

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(a) As used in this section, “hospice care program” has the same meaning as provided in section 19a-122e. (b) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state shall provide coverage for hospice services provided to an insured in the home through a hospice care program, to the extent coverage is provided for inpatient hospice services in a hospital. Such coverage shall be subject to the same terms and conditions applicable to all other benefits under such policy. (c) No such policy shall exclude a hospice service for coverage solely because such service is provided in the home and not at a hospital, provided hospice care in the home is appropriate for the insured. (d) Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service corporation or other entity from conducting utilization review for an in-home hospice service, provided such utilization review is conducted in the same manner and uses the same clinical review criteria as a utilization review for the same hospice services provided in a hospital. See Sec. 38a-492v for similar provisions re individual policies.

Connecticut § 38a-518v (Mandatory coverage for hospice services in the home through a hospice care program to the extent provided for inpatient hospice services.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

(P.A. 23-174, S. 4; P.A. 24-68, S. 53.) History: P.A. 23-174 effective January 1, 2024; P.A. 24-68 amended Subsec. (d) by making a technical change, effective May 28, 2024.