89 Ill. Adm. Code 1200.90
Diagnostic Services
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.