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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