Section 17-2-88 - ProceduresA.Ambulance and Chaircar.1. Prior authorization. For ambulance and chaircar, prior authorization must indicate the name of the physician requesting the service. When verbal approval is given, the formal request must follow as soon as possible and no later than 5 days, with the notation that verbal approval has been given and by whom. Ambulance and chaircar requests for prior authorization must be signed by a physician or other medically responsible person. If the appropriate signature does not appear on the request for prior authorization, said request will be returned unauthorized.
2. Billing. A bill for Medical Transportation must be accompanied by a copy of the prior authorization. A billing not accompanied by a copy of the prior authorization because the service was given on an emergency basis, will be forwarded to the Division of Health Services for review and decision regarding the emergency need for the ambulance service or the need to request additional information from the ambulance company substantiating the bill.3. Return Trip from Hospital - Emergency Room. Transportation by taxicab should be used unless medically contra-indicated.4. Over-utilization. Patients who over-utilize ambulance services will be identified and a medical social worker from the Bureau of Health Services will visit the patient.Conn. Agencies Regs. § 17-2-88
Effective October 27, 1977