467 NAC 3-020. UROLOGY DIAGNOSIS AND SERVICES

020. UROLOGY DIAGNOSIS AND SERVICES. This service provides treatment for kidney, urinary, and genital anomalies determined to be chronic and disabling or potentially disabling and active treatment is necessary. 020.01 MEDICAL ELIGIBILITY CONSIDERATIONS. Covered diagnoses are exstrophy of the bladder, bilateral ureteral reflux, extensive hypospadias, ambiguous genitalia, and hydronephrosis. Other related diagnoses may be considered. Eligibility ends when dialysis or transplant is required – other public programs are available for this stage of disease. 020.01(A) MEDICAL ELIGIBILITY DETERMINATION. The medical consultant determines medical eligibility for urology. 020.01(B) CERTIFICATION DATE. The certification date is the date of referral, once medical and financial eligibility is met. 020.02 SERVICE COMPONENTS. Service components may be covered if recommended in the individual medical treatment plan and funds are available.