10 Colo. Code Regs. § 2505-10-8.7511

Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7511 - Bereavement Counseling
8.7511.ABereavement Counseling Eligibility
1. Bereavement Counseling is a covered benefit available to Members enrolled in the HCBS Children's with Life Limiting Illness Waiver.
8.7511.BBereavement Counseling Definition
1. Bereavement Counseling means counseling provided to the Member and/or Family Members to guide and help them cope with the Member's illness and the related stress that accompanies the continuous, daily care required by a child with a life-threatening condition.
8.7511.CBereavement Counseling Exclusions and Limitations
1. Bereavement Counseling shall be a benefit only if it is not available under Medicaid Early and Periodic Screening, Diagnostic and Treatment (EPSDT) coverage, Medicaid State Plan benefits, third party liability coverage or from other sources.
8.7511.DBereavement Counseling Provider Agency Requirements
1. Bereavement Counseling shall be provided only by individuals licensed or certified in at least one of the following:
a. Licensed Clinical Social Worker (LCSW)
b. Licensed Professional Counselor (LPC)
c. Licensed Social Worker (LSW)
d. Licensed Independent Social Worker (LISW)
e. Licensed Psychologist; or
f. Non-denominational spiritual counselor, if employed by a qualified Medicaid home health or hospice agency.
2. Providers shall be licensed and in good standing with their specific specialty practice act or with current state licensure statutes and regulations.
3. Each individual providing Bereavement Counseling shall enroll as a Medicaid provider or be employed by an enrolled Medicaid home health or hospice provider agency.
8.7511.EBereavement Counseling Reimbursement
1. Bereavement Counseling may be initiated and reimbursed while the Member is on the CLLI waiver but may continue for one year following the death of the Member.

10 CCR 2505-10-8.7511

47 CR 03, February 10, 2024, effective 3/16/2024
47 CR 21, November 10, 2024, effective 11/30/2024