{"reporting_entity_name":"Molina-Healthcare-of-Connecticut","reporting_entity_type":"health insurance issuer","last_updated_on":"2026-07-08","version":"2.0.0","provider_references":[{"provider_group_id":208492,"network_name":["CT Network"],"provider_groups":[{"npi":[1811092273],"tin":{"type":"ein","value":"821663577","business_name":"BRISTOL HOME CARE AND HOSPICE AGENCY INC"}}]}],"in_network":[{"negotiation_arrangement":"ffs","name":"Home Health Aide - Hourly Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0572","description":"Home Health Aide","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":24.96,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Home IV Therapy Services - Other IV Therapy Services","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0649","description":"Home IV Therapy Services","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":83.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":83.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Medical Social Services - Visit Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0561","description":"Home Health - Medical Social Services","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":83.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":83.2,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Occupational Therapy - Visit Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0431","description":"Occupational Therapy","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Physical Therapy - Visit Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0421","description":"Physical Therapy","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Respite Care - Hourly Charge/Aide/Homemaker/Companion","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0662","description":"Respite Care","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":18.72,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":18.72,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Skilled Nursing - Hourly Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0552","description":"Skilled Nursing","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":42.64,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":42.64,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Skilled Nursing - Other Skilled Nursing","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0559","description":"Skilled Nursing","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":36.4,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":36.4,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Skilled Nursing - Visit Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0551","description":"Skilled Nursing","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":88.4,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":88.4,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]},{"negotiation_arrangement":"ffs","name":"Speech-Language Pathology - Visit Charge","billing_code_type":"REV","billing_code_type_version":"2022","billing_code":"0441","description":"Speech Therapy - Language Pathology","negotiated_rates":[{"provider_references":[208492],"negotiated_prices":[{"setting":"inpatient","negotiated_type":"per diem","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]},{"setting":"outpatient","negotiated_type":"per diem","negotiated_rate":90.48,"expiration_date":"9999-12-31","billing_class":"institutional","service_code":["11"]}]}]}]}