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 intellectual
disability 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.