467 NAC 4-003. HEMOPHILIA DIAGNOSIS AND SERVICES

003. HEMOPHILIA DIAGNOSIS AND SERVICES. This service provides treatment for hemophilia and certain bleeding disorders. 003.01 MEDICAL ELIGIBILITY CONSIDERATIONS. Hemophilia is a genetically transmitted disease caused by deficiency of an antihemophilic globulin, Factor VIII. Bleeding episodes may occur due to minor injuries, surgeries, dental work, and other procedures and may require extensive treatment. Medically eligible diagnoses are congenital Factor VII and severe Factor IX disorders, such as hemophilia and Christmas disease. 003.01(A) MEDICAL ELIGIBILITY DETERMINATION. The medical consultant determines medical eligibility for hemophilia diagnosis. 003.01(B) CERTIFICATION DATE. The certification date is the date of referral, once medical and financial eligibility is met. 003.02 SERVICE COMPONENTS. Service components may be covered if recommended in the individual medical treatment plan and funds are available.