10- 144 C.M.R. ch. 272, § VII-M

Current through 2024-51, December 18, 2024
Section 144-272-VII-M - Support Services

Support services are available through the C.C.S./C.S.H.N. Program for children and their families who are both financially and medically eligible children and for the families of children eligible for Supplemental Social Security (SSI) benefits as follows:

1. Lodging

For those children who are required to travel 150 miles round trip out of their usual area for their subspecialty treatment and must stay overnight for a prior approved laboratory studies, clinic visits or hospitalization, the C.C.S./C.S.H.N. Program may pre-authorize payment for lodging as follows: single room rate for lodging up to seven nights per hospitalization if hospital policy does not allow a parent to stay in the child's room. The rate of reimbursement will not exceed the single room rate allowed state employees.

NON-COVERED SERVICE: cost of meals and phone calls.

2. Parent Training/Consultation:

For families whose children under the age of five have primary and subspecialty care verification of either a congenital, neurological or neuromuscular condition known to have associated developmental delays, the C.C.S./C.S.H.N. Program will pre-authorize payment for:

four units (two hours) per month of consultation with their child's occupational, physical therapist and or speech pathologist to assist them in carrying out the therapy treatment in the home environment if recommended by the treating subspecialist and included in the prior authorized therapist's plan of care.

3. Transportation:

For those children who are required to travel 150 miles round trip or per week out of their usual area for their subspecialty medical care/treatment and whose travel is not covered by any other source, the C.C.S./C.S.H.N. Program may pre-authorize payment for travel reimbursement to the families as follows:

a. round trip mileage reimbursement for ground travel to prior authorized medical appointments at the rate of $0.15 per mile and not to exceed the State rate of reimbursement for State employees;
b. mileage reimbursement for ground travel not to exceed the State rate of reimbursement for State employees for up to two (2) round trips when the travel is related to a prior authorized in-patient admission;
c. round trip bus fare when the travel is related to prior authorized subspecialty medical treatment or in-patient hospitalization and if the family has no other means of transportation; or
d. round trip air travel only when the cost of the air travel is less than ground travel and when the travel is related to a prior authorized in-patient admission.

NON COVERED TRANSPORTATION SERVICES: transportationcosts when appropriate providers are available in the child's usual area, but families choose providers out of this area for whatever reason.

10- 144 C.M.R. ch. 272, § VII-M