Conn. Agencies Regs. § 17b-262-218

Current through November 7, 2024

Section 17b-262-218 - Services covered

The Department shall pay for the following services:

(a)Audiology

Audiology services include, but are not limited to:

(1) identification of children with hearing loss;

(2) determination of the range, nature and degree of hearing loss, including referral for medical or other professional attention for the treatment of hearing;

(3) provision of treatment activities, such as language habilitation, auditory training, speech reading (lip reading), hearing evaluation and speech conservation;

(4) creation and administration of programs for the prevention of hearing loss;

(5) counseling and guidance of children, parents and teachers regarding hearing loss; and

(6) determination of the child's need for individual or group amplification, selecting and fitting an appropriate aid and evaluating the effectiveness of amplification, provided that these services are within the scope of practice set forth in subsection (3) of section 20-408 of the CGS.

(b)Clinical Diagnostic Laboratory Services

Clinical diagnostic laboratory services means services recommended by the PPT such as simple diagnostic tests and procedures performed in the school. These services include, but are not limited to:

(1) blood sugar by a finger stick,

(2) urine dipstick and

(3) hematocrit.

(c)Durable Medical Equipment, Other Medical Supplies and Devices

Durable medical equipment means the purchase or rental of medically necessary and appropriate assistive devices such as:

(1) augmentative communication device;

(2) crouch screen voice synthesizer;

(3) prone stander;

(4) corner chair;

(5) wheelchair;

(6) crutches;

(7) walkers;

(8) auditory trainers; and

(9) suctioning machines.

Other medical supplies and devices means supplies and devices necessary, and incidental to, IEP related services.

(d)Medical Services

Medical services means medical diagnostic and evaluative services recommended by the PPT to determine the child's medically related disability as approved by the licensed practitioner of the healing arts as defined in section 20-1 of the CGS and provided by the qualified SBCH service provider.

(e)Medical Transportation

Medical transportation means the transportation of a child identified as requiring special education and related services to sites of medically appropriate and necessary services. This includes the cost of staff required to accompany the child, as prescribed in the IEP, in order to transport the child to and from school and other sites of medically appropriate and necessary services.

(f)Mental Health Services (Psychological & Counseling Services)

Mental health services means diagnostic and treatment services involving mental, emotional or behavioral problems and disturbances and dysfunctions, or the diagnosis and treatment of substance abuse. These services include, but are not limited to:

(1) mental health evaluations;

(2) psychological testing such as the (A) administering of psychological tests and other assessment procedures; (B) interpreting of assessment results; (C) obtaining, integrating and interpreting of information about child behavior and conditions related to learning; (D) planning and managing of a program of psychological services including psychological counseling for children and parents; and

(3) counseling services such as individual, group or marital and family counseling or psychotherapy for the treatment of a mental, emotional, behavioral or substance abuse condition to alleviate the condition and encourage growth and development, as performed by qualified SBCH providers, provided these services are within the scope of practice set forth in subsection (a) of section 20-74o, section 20-187a, subsections (a) and (b) of section 20-195, subsection (a) of section 20-195a, subsection (a) of section 20-195m, and subsection (b) of section 20-195q of the CGS, and sections 10-145d-555 through 10-145d-566, inclusive, of the Regulations of Connecticut State Agencies.

(g)Nursing Services

Nursing services include, but are not limited to:

(1) health assessment and development of individualized health care plans;

(2) nursing procedures including suctioning, tracheostomy care, catherterization, toileting, ostomy management and care;

(3) monitoring of health status, for example, monitoring of shunt functioning or respiratory status; and individual health counseling and instruction and emergency interventions, provided that these services are within the scope of practice set forth in subsections (a), (b) and (c) of section 20-87a of the CGS.

(h)Occupational Therapy

Occupational therapy services means those services as defined in subsection (1) of section 20-74a of the CGS.

(i)Physical Therapy

Physical therapy services means those services as defined in subsection (2) of section 20-66 of the CGS.

(j)Respiratory Care Services

Respiratory care services means those services as defined in subsection (b) of section 20-162n of the CGS.

(k)Speech/Language

Speech pathology services include, but are not limited to:

(1) identification of children with speech and language impairments;

(2) diagnosis and appraisal of specific speech and language impairments;

(3) referrals for medical or other professional attention necessary for the treatment of speech or language impairments;

(4) provision of speech or language services for the treatment or prevention of communicated impairments; and

(5) counseling or guidance of parents, children and teachers regarding speech and language impairments, provided that these services are within the scope of practice set forth in subsection (1) of section 20-408 of the CGS and sections 10-145d-543 through 10-145d-546, inclusive, of the Regulations of Connecticut State Agencies.

(l)Optometric Services

Optometric services include, but are not limited to:

(1) assessment for visual acuity, color blindness, near vision and strabismus; and

(2) diagnosis of abnormalities related to the eye and optic nerves, provided that these services are within the scope of practice set forth in subsection (2) of section 20-127 of the CGS.

Conn. Agencies Regs. § 17b-262-218

Effective January 31, 1996; Amended May 10, 2000