Connecticut § 38a-518w Medically necessary wheelchair repairs, replacements. Coverage requirements.

Connecticut Statutes

§ 38a-518w — Medically necessary wheelchair repairs, replacements. Coverage requirements.

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

(a)As used in this section, (1) “complex rehabilitation technology wheelchair” has the same meaning as provided in section 42-337, and (2) “medically necessary” means a written determination by a policy holder's health care provider that repair or replacement of a complex rehabilitation technology wheelchair is necessary to preserve the health of such policy holder.

(b)Each group health insurance policy providing coverage of the types specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state on and after January 1, 2025, shall not require a new prescription or prior authorization for the medically necessary repair or replacement of a complex rehabilitation technology wheelchair unless the original

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(a) As used in this section, (1) “complex rehabilitation technology wheelchair” has the same meaning as provided in section 42-337, and (2) “medically necessary” means a written determination by a policy holder's health care provider that repair or replacement of a complex rehabilitation technology wheelchair is necessary to preserve the health of such policy holder. (b) Each group health insurance policy providing coverage of the types specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, renewed, amended or continued in this state on and after January 1, 2025, shall not require a new prescription or prior authorization for the medically necessary repair or replacement of a complex rehabilitation technology wheelchair unless the original prescription is more than five years old. (c) The Insurance Commissioner shall adopt regulations, in accordance with chapter 54, to implement the provisions of this section.

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