467 NAC 3-002. ASTHMA DIAGNOSIS AND SERVICES

002. ASTHMA DIAGNOSIS AND SERVICES. This service provides treatment for severe, persistent asthma in recipients. 002.01 MEDICAL ELIGIBILITY CONSIDERATIONS. Applicants and recipients must meet specific criteria to establish eligibility factors. Persistent asthma is having more than two episodes of asthma symptoms per week. Severe asthma is continual daily symptoms and frequent nightly symptoms prior to treatment. Daily symptoms or more per month nightly symptoms fall into the more moderate category. Life threatening episodes, frequent hospitalizations, evidence of chronic lung disease, evidence of the disease adversely affecting every day functioning, including psychological disturbances secondary to the disease will all be taken into account. 002.01(A) MEDICAL ELIGIBILITY DETERMINATION. The medical consultant determines medical eligibility for asthma. 002.01(B) CERTIFICATION DATE. The certification date is the date of referral, once medical and financial eligibility is met. 002.02 SERVICE COMPONENTS. Service components may be covered if recommended in the individual medical treatment plan and funds are available.