Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7524 - Adaptive Therapeutic Equine Activities8.7524.AAdaptive Therapeutic Equine Activities Eligibility1. Adaptive Therapeutic Equine Activities are a covered benefit available to Members enrolled in one of the following HCBS waivers: a. Children's Extensive Support Waiverb. Children's Habilitation Residential Program Waiverc. Supported Living Services Waiver8.7524.BAdaptive Therapeutic Equine Activities Definition1. Adaptive Therapeutic Equine Activities are therapeutic activities that use the horse to assist in the development and enhancement of skills which help support improved motor skills, self-regulation, communication opportunities and social and emotional wellbeing. This service is used as a strategy for skill acquisition and skill maintenance and outlined in the individualized Person-Centered Support Plan (PCSP).8.7524.CAdaptive Therapeutic Equine Activities Inclusions1. Adaptive Therapeutic Equine Activities are included when it meets an identified need in the Person-Centered Support Plan.8.7524.DAdaptive Therapeutic Equine Activities Exclusions and Limitations1. HCBS Children's Extensive Services (CES) Waiver; HCBS Supportive Living Services (SLS); HCBS Children's Habilitation Residential Program (CHRP) Waiver: a. The following items are excluded under the HCBS waivers and are not eligible for reimbursement:ii. Experimental treatments or therapies; and,iii. Facility access fees, including barn and stable fees b. Adaptive Therapeutic Equine Activities are not covered as a waiver service if it is available under the Medicaid State Plan, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), or from a Third-Party Resource.b. Hippotherapy is not covered as a waiver service if it is available under the Medicaid State Plan, Early and Periodic Screening, Diagnostic and Treatment (EPSDT), or from a Third-Party Resource.8.7524.EAdaptive Therapeutic Equine Activities Service Provider Agency Requirements1. Adaptive Therapeutic Equine Activities must be recommended or prescribed by a licensed physician or therapist.2. The recommendation must clearly identify the need for Adaptive Therapeutic Equine Activities, a recommended treatment protocol, and expected outcome or goal.3. The provider is licensed, certified, registered or accredited, and in good standing, according to all applicable state licensing requirements for the performance of the Therapeutic Adaptive Equine Activities support and services provided.47 CR 03, February 10, 2024, effective 3/16/202447 CR 21, November 10, 2024, effective 11/30/202447 CR 23, December 10, 2024, effective 12/30/2024