Section 467-3-016 - ORTHOPEDIC DIAGNOSIS AND SERVICESThis service provides treatment for general orthopedic problems, congenital or acquired, excluding recent fractures.
016.01MEDICAL ELIGIBILITY CONSIDERATIONS. Common diagnoses covered are talipes equinovarus, arthrogryposis, Legg-Calve-Perthes disease, congenital dislocation of the hip, and the need for prostheses. Spinal cord injuries may be considered for rehabilitative care. Additional diagnoses that may be considered are tibial torsion, bowed legs, torn medial meniscus, leg length discrepancy, and fractures that have not healed properly. Other severe and chronic orthopedic conditions may be considered.016.01(A)MEDICAL ELIGIBILITY DETERMINATION. The medical consultant determines medical eligibility for orthopedic.016.01(B)CERTIFICATION DATE. The certification date is the date of referral, once medical and financial eligibility is met.016.02SERVICE COMPONENTS. Service components may be covered if recommended in the individual medical treatment plan and funds are available.467 Neb. Admin. Code, ch. 3, § 016
Adopted effective 5/17/2022