Extended Care Health Option (ECHO)
Chapter 9
Section 8.1
Training
Issue Date: July 3, 1997
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision:
1.0 CPT
PROCEDURE CODES
97504, 97520, 97535, 97542,
99199, 99600
2.0 POLICY
2.1 Training
when required to allow the use of an assistive technology device
or to acquire skills which are expected to assist the beneficiary
in reducing the disabling effects of a qualifying condition may
be cost-shared as an Extended Care Health Option (ECHO) benefit
subject to all applicable ECHO requirements.
2.2 Training
for parents (or guardians) and siblings of an ECHO beneficiary when
required as an integral part of the management of the qualifying
condition may be cost-shared as an ECHO benefit subject to all applicable
ECHO requirements.
2.3 Vocational training, in the
beneficiary’s home or a facility providing such, is an allowed ECHO benefit.
2.4 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
Training services available under the TRICARE
Basic Program are not eligible to be cost-shared under the ECHO.
4.0 EFFECTIVE
DATE
September 1, 2005.
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