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Your Role as a Healthcare Provider
You have two main responsibilities as a health care provider under CT Paid Leave:
- display information about the program in a way that is accessible to patients and caregivers
- complete the Certification for a Serious Health Condition Form when requested
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Who is a healthcare provider for the purposes of CT Paid Leave?
- A Doctor of Medicine or Osteopathy authorized to practice medicine or surgery in the State of Connecticut
- A podiatrist, dentist, clinical psychologist, or optometrist authorized to practice within their scope in the State of Connecticut
- A chiropractor authorized to practice within their scope in the State of Connecticut
- A nurse practitioner, nurse-midwife, clinical social worker, or physician assistant authorized to practice within their scope in the State of Connecticut
- A Christian Science practitioner listed with the First Church of Christ, Scientist
- Any healthcare provider from whom the employer or the employer’s group health plan’s benefits manager will accept a medical certification to substantiate a claim for benefits
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What is a serious health condition?
A serious health condition is an illness, injury or impairment or physical or mental condition that involves inpatient care or continuing treatment.
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Displaying CT Paid Leave Information
Effective October 1, 2024, P.A. 24-5 requires healthcare providers to display CT Paid Leave information in a manner that is accessible to patients and their caregivers. The CT Paid Leave Authority developed an informational poster in English and Spanish for healthcare providers to print and display where they see fit for their office and patients. Examples include pinning this poster to a bulletin board in a waiting room, visiting room or bathroom, or including the poster with other information distributed to patients.
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Completing the Certification for a Serious Health Condition Form
Claims filed for leave to deal with a serious health condition require CT Paid Leave’s Certification for a Serious Health Condition form to be completed by the worker’s provider. Additionally, claims filed for caregiver leave require CT Paid Leave’s Certification for Care of a Family Member with a Serious Health Condition form to be completed by the provider of the family member the worker is taking leave to care for.
Important!
Important!
According to Connecticut General Statute §31-49r, healthcare providers cannot charge for completing the Certification for Serious Health Condition form.
"From a mental health perspective, CT Paid Leave can really change the course of a person's life."
- Samantha Alzate, Owner at Mindful Transformations
"We have a lot of really tired new parents...and giving them the opportunity to stay home, bond with their baby, and support their partner has just been amazing."
- Dr. Jenny Schwab, Rocky Hill Pediatrics
Frequently Asked Questions
Yes, a serious health condition may be a physical or psychological health condition. A serious health condition requires both incapacity and treatment by a healthcare provider.
Leave may be taken only for treatment for substance use by a healthcare provider or by a provider of health care services on referral by a healthcare provider, but not for absences caused by an employee’s use of the substance.
A pregnant patient may be entitled to two additional weeks of leave during their pregnancy for incapacitation during pregnancy, including time needed for routine pre-natal appointments. This additional time is only available during the pregnancy and cannot be added to the end of the medical leave or bonding leave if it is not used during the pregnancy. If you deem that it is necessary for your patient to use these two additional weeks, you must indicate this on the Certification for a Serious Health Condition form.
Yes. Since the FMLA Certification for a Serious Health Condition form and the CT Paid Leave Certification for a Serious Health Condition form ask for very similar information, we will accept the FMLA form in lieu of our form.