Extended Care Health Option (ECHO)
Chapter 9
Section 2.4
Eligibility - Qualifying
Condition: Other
Issue Date: July 3, 1997
Revision:
1.0 POLICY
The following are also considered qualifying
conditions for the Extended Care Health Option (ECHO):
1.1 Extraordinary
physical or psychological condition. This is defined as a complex
physical or psychological clinical condition of such severity that
it results in the beneficiary being homebound, as defined in
32 CFR 199.2. Such a condition will generally
qualify the beneficiary for the ECHO Home Health Care (EHHC) benefit,
subject to all other applicable program requirements.
1.2 Infant/toddler.
TRICARE beneficiaries under the age of three years who are diagnosed
with a neuromuscular developmental condition or other condition
that is expected to precede a diagnosis of moderate or severe mental
retardation or a serious physical disability, are considered to
have an ECHO qualifying condition.
1.3 Multiple disabilities. The
cumulative effect of disabilities involving two or more separate
body systems, none of which are individually an ECHO qualifying
condition, will be used to establish a qualifying condition in lieu
of the qualifying conditions described herein and in
Sections 2.2 and
2.3.
2.0 EFFECTIVE
DATE
September 1, 2005.
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