R.C.S.A. § 17b-192-6
Services covered and limitations (Repealed)
Cite as Conn. Agencies Regs. § 17b-192-6
(a) Services and goods covered for SAGA members shall be identical to those covered under
the SAGA program on July 1, 2003.
(b) The SAGA program shall pay only for covered services and goods that are medically
necessary.
(c) The following services or goods shall be available only through the ASO:
(1) Ambulatory surgery clinic services;
(2) Medical clinic services;
(3) FQHC medical clinic services;
(4) Rehabilitation clinic services;
(5) Dialysis clinic services;
(6) Family planning clinic services;
(7) Dental practitioner services;
(8) FQHC dental clinic services;
(9) Independent radiologist services;
(10) Independent laboratory services;
(11) Medical equipment, devices and supplies;
(12) Nurse practitioner services;
(13) Nurse midwife services;
(14) Physician services;
(15) Emergency ambulance transportation services;
(16) Non-emergency medical transportation services for radiation oncology, chemotherapy
and dialysis;
(17) Pharmacy services;
(18) Hospital outpatient clinic and related ancillary services; and
(19) Chronic disease hospital services.
(d) Each provider receiving payment under the SAGA program shall comply with any enrollment
requirements specified in Medicaid regulations specific to the provider's type and
specialty contained in the Regulations of Connecticut State Agencies.
(e) Hospitals shall provide, and the department shall administer, inpatient and outpatient
hospital services other than those services listed in subsection (c)(18) of this section.