Section 1200.70 Care Coordination Services Eligibility and Standards

Section 1200.70  Care

Coordination Services Eligibility and Standards

a)         Care coordination services

are services paid for or provided by DSCC to promote the effective and

efficient organization and utilization of resources to assure access to

necessary comprehensive services for children eligible under this Part and

their families. Care coordination services may be covered by DSCC for an applicant

or recipient child where the applicant or recipient child:

1)         Is under 21 years of age;

2)         Meets or is suspected of

meeting the medical eligibility criteria in Section 1200.110; and

3)         Is a resident of Illinois

as set forth in Section 1200.100.

b)         Diagnostic services may be

provided in accordance with Section 1200.90 only if the criteria of subsection (a)(1)

and (a)(3) are met.

c)         There

is no financial eligibility criteria for care coordination services.

d)         Eligibility for care coordination

services shall be reconsidered every 18 months and whenever a change occurs

that impacts medical eligibility.

e)         Eligibility for care coordination

services shall end when the requirements of this Section are no longer met, except

as provided in Section 1200.170.