Medical Services: Diagnostic Screening Clinics

The Department will reimburse medical social service visits to clinics that coordinate the treatment between providers for participants which are diagnosed with cerebral palsy, myelomeningitis or other neurological diseases and injuries with comparable outcomes. (7-1-26) 01. Multidisciplinary Assessments and Consultations. The clinic must perform on site multidisciplinary assessments and consultations with each participant and responsible parent or guardian. Diagnostic and consultive services related to the diagnosis and treatment of the participant will be provided by board certified provider specialists in physical medicine, neurology and orthopedics. (7-1-26) 02. Billings. No more than five (5) hours of medical social services may be billed each state fiscal year for which the medical social worker monitors and arranges treatments and provides medical information to providers coordinating their care. (7-1-26) 03. Provider Qualifications. The clinic will be a separate and distinct entity from the hospital or other provider practices. (7-1-26) SUB AREA: OTHER PROVIDER SERVICES (Sections 120-179)