ALERT!!
We are aware of the issue with the 32 CFR 199 cross-references (Table of Contents links) and are working to resolve the issue. Thank you.
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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