Extended Care Health Option (ECHO)
Chapter 9
Section 9.1
Special Education And Other
Services
Issue Date: July 3, 1997
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision: C-27, July 26, 2018
1.0 CPT
PROCEDURE CODES
99199, 99600
2.0 POLICY
2.1 Special
education, within the meaning of such term as used in the Individuals
with Disabilities Education Act (IDEA) and its implementing regulations
and policies, may be cost-shared subject to all applicable Extended
Care Health Option (ECHO) requirements, and in particular, the requirement
that other public programs and facilities be used to the extent
available and adequate.
2.2 Identification of appropriate
public facilities. The local educational agency with responsibility for
the beneficiary is the sole public facility to provide public facility
use certification for special education services.
2.3 Services cost-shared through the ECHO may be
provided by an authorized institutional or individual professional
provider on an inpatient or outpatient basis and rendered in the
beneficiary’s natural environment. This includes at home, at school,
or other location that is suitable for the type of services being
rendered.
3.0 EXCLUSION
Special education services are generally unavailable
under the TRICARE Basic Program except as authorized under Section
1079(a)(g) of Title 10 United States Code (USC), and when authorized
are not eligible to be cost-shared under ECHO.
4.0 EFFECTIVE
DATE
September 1, 2005.
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