Ala. Admin. Code r. 560-X-61-.04

Current through Register Vol. 43, No. 1, October 31, 2024

Section 560-X-61-.04 - Covered Services

(1) Children's Specialty Clinic Services do not include services that have been rendered under other Medicaid programs.

(2) Children's Specialty Clinic Services are covered when provided by a Medicaid enrolled children's specialty clinic provider.

(3) Covered children's specialty clinic services include preventive, diagnostic, therapeutic, rehabilitative, and/or palliative items or services provided by a Medicaid approved provider who meets the requirements described in Section 560-X-61-.02. Specific types of services provided in Children's Specialty Clinics include: diagnosis of medical conditions, multidisciplinary evaluations, completion of durable medical equipment assessments, therapy services, nutrition services, case management services, orthotic and prosthetic services, vision and hearing services, and dental services for children experiencing developmental problems. For details of dental services covered in children's specialty clinics see Rule No. 560-X-15-.06(3) of the State of Alabama Administrative Code.

(4) A patient care plan is required for each child and a service coordinator is responsible for arranging specialty and needed social services for the family.

Author:

Ala. Admin. Code r. 560-X-61-.04

New Rule: Filed April 8, 1996; effective May 13, 1996. Amended: Filed June 5, 1998; effective July 10, 1998.

Statutory Authority: Title XIX, Social Security Act; State Plan; 42 C.F.R. §440.90.