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:
1.0 CPT 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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