10 Colo. Code Regs. § 2505-10-8.7551
Current through Register Vol. 47, No. 24, December 25, 2024
Section 10 CCR 2505-10-8.7551 - Therapeutic Life Limiting Illness Support8.7551.ATherapeutic Life Limiting Illness Support Eligibility1. Therapeutic Life Limiting Illness Support is a covered benefit available to Members enrolled in the HCBS Children's with Life Limiting Illness Waiver.8.7551.BTherapeutic Life Limiting Illness Support Definition1. Therapeutic Life Limiting Illness Support is intended to help the Member and Family in the disease process. Support is provided to the Member to decrease emotional suffering due to health status and develop coping skills. Support is provided to the Member and/or Family Members in order to guide and help them cope with the Member's illness and the related stress that accompanies the continuous, daily care required by a terminally ill child.8.7551.CTherapeutic Life Limiting Illness Support Inclusions, Exclusions and Limitations1. Support includes but is not limited to counseling, attending physician visits, providing emotional support to the family/caregiver if the child is admitted to the hospital or having stressful procedures, and connecting the Family with community resources such as funding or transportation.2. Therapeutic Life Limiting Illness Support may be provided in individual or group settings.3. Therapeutic Life Limiting Illness Support shall only be a benefit 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 by other means.4. Therapeutic Life Limiting Illness Support is limited to the Member's assessed need up to a maximum of 98 hours per annual certification period.8.7551.DTherapeutic Life Limiting Illness Support Provider Requirements1. Individuals providing Therapeutic Life Limiting Illness Support shall enroll with the fiscal agent or be employed by a qualified Medicaid home health or hospice Agency.2. Individuals providing Therapeutic Life Limiting Illness Support shall be 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; or3. Non-denominational spiritual counselor, if employed by a qualified Medicaid home health or hospice Agency.47 CR 03, February 10, 2024, effective 3/16/202447 CR 21, November 10, 2024, effective 11/30/2024