CT HB05380

Amends Connecticut General Statutes Section 38a-591a(7) to redefine "clinical peer" for utilization review purposes, effective January 1, 2019.

Requires clinical peers performing utilization reviews to hold a nonrestricted license in Connecticut (rather than any state) in the same specialty that typically manages the medical condition, procedure, or treatment under review.

Establishes specific credentialing requirements for peers reviewing substance use disorder or mental disorder cases: national board certification in psychiatry or a doctoral-level psychology degree with relevant training and clinical experience.

Distinguishes requirements based on patient age, with separate certification standards specified for child/adolescent versus adult substance use disorders and mental disorders.