Ill. Admin. Code tit. 89 § 1200.90

Current through Register Vol. 48, No. 52, December 27, 2024

Section 1200.90 - Diagnostic Services

a) Diagnostic services are services provided or paid for by DSCC without regard to financial eligibility that are medically necessary to determine whether an applicant or recipient child meets the medical eligibility criteria of Section 1200.110. Diagnostic services are a component of care coordination services and financial assistance and no separate application is required.

b) Whenever eligibility or ineligibility is established based upon existing information or an interview with the LRA, applicant or recipient child, which may occur when a diagnosis has already been established, DSCC shall not be required to cover diagnostic services.

c) Diagnostic services shall be provided on an outpatient basis unless inpatient services are medically necessary to complete the diagnostic evaluation as approved in the sole discretion of the Director or designee.

Ill. Admin. Code tit. 89, § 1200.90

Amended at 21 Ill. Reg. 17114, effective December 11, 1997

Adopted at 42 Ill. Reg. 15460, effective 10/1/2018