467 NAC 3-014
467 NAC 3-014. NEOPLASM DIAGNOSIS AND SERVICES
Cite as Neb. Admin. Code tit. 467, ch. 3, § 014
014. NEOPLASM DIAGNOSIS AND SERVICES. This service provides treatment for neoplastic (cancerous) diseases or non-malignant tumors when the tumor is potentially disabling.
014.01 MEDICAL ELIGIBILITY CONSIDERATIONS. Common diagnoses covered are leukemia, lymphoma, Ewing’s sarcoma, Wilm’s tumor, rhabdomyosarcoma, neuroblastoma, astrocytoma, and osteogenic sarcoma. Other brain tumors that are potentially disabling may be considered.
014.01(A) MEDICAL ELIGIBILITY DETERMINATION. The medical consultant determines medical eligibility for neoplasm.
014.01(B) CERTIFICATION DATE. The certification date is the date of referral, once medical and financial eligibility is met.
014.02 SERVICE COMPONENTS. Service components may be covered if recommended in the individual medical treatment plan and funds are available.