{"data":{"id":"us-ct/conn.-gen.-stat.-38a-518v","jurisdiction":"us-ct","citation":"Conn. Gen. Stat. § 38a-518v","heading":"Mandatory coverage for hospice services in the 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 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.\n(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.\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 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.","path":["TITLE 38a. INSURANCE","CHAPTER 700c. HEALTH INSURANCE","PART III. GROUP HEALTH INSURANCE"],"source_url":"https://www.cga.ct.gov/current/pub/chap_700c.htm#sec_38a-518v","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":"0c78c3069be2c6c7666bb6a882bc770e3e72544d21a1a9e291b10f751aa26de2","source_id":"us-ct","stale":false,"prev":"us-ct/conn.-gen.-stat.-38a-518u","next":"us-ct/conn.-gen.-stat.-38a-518w"},"notice":"GroundRules: Original legal text. Not legal advice."}