{"data":{"id":"us-ct/conn.-gen.-stat.-38a-492v","jurisdiction":"us-ct","citation":"Conn. Gen. Stat. § 38a-492v","heading":"Mandatory coverage for hospice services provided in home through a hospice care program to the extent provided for inpatient hospice services.","body":"(a) As used in this section, “hospice care program” has the same meaning as provided in section 19a-122e.\n(b) Each individual 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.\n(c) No such policy shall exclude a hospice service for coverage solely because such hospice service is provided in the home and not at a hospital, provided hospice care in the home is appropriate for the insured.\n(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 in-home hospice services, 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.","path":["TITLE 38a. INSURANCE","CHAPTER 700c. HEALTH INSURANCE","PART II. INDIVIDUAL HEALTH INSURANCE"],"source_url":"https://www.cga.ct.gov/current/pub/chap_700c.htm#sec_38a-492v","current_through":"Revised to January 1, 2026 (2026 Supplement to the General Statutes of Connecticut, applied over the base revision of January 1, 2025)","vintage":"","retrieved_at":"2026-09-06T19:07:12Z","sha256":"b1d656475a2000ad0d422ca52bed7604a6ad9b23452a01fa34210e6f0db4eca9","source_id":"us-ct","stale":false,"prev":"us-ct/conn.-gen.-stat.-38a-492u","next":"us-ct/conn.-gen.-stat.-38a-492w"},"notice":"GroundRules: Original legal text. Not legal advice."}