1.0 DESCRIPTION
Specific learning disorders
are diagnosed when the individual’s achievement on individually
administered, standardized tests in reading, mathematics, or written
expression is substantially below that expected for age, schooling
and level of intelligence. The learning problems significantly interfere
with academic achievement or activities of daily living that require
reading, mathematical, or writing skills. The learning disorders
recognized by the current edition of the Diagnostic and Statistical
Manual of Mental Disorders (DSM) are: Specific Learning Disorder,
with impairment in reading; Specific Learning Disorder, with impairment
in written expression; and Specific Learning Disorder, with impairment
in mathematics. A condition is not considered a specific learning disorder
if it is a result of or is associated with such conditions as intellectual
disability, infantile autism or pervasive developmental disorder,
visual or hearing impairments, acquired aphasia (normal language
followed by onset of language disorder often associated with head
trauma, seizures, or Electroencephalogram (EEG) abnormalities) or dysarthria
(abnormal articulation due to disorders of the oral speech mechanisms
or documented neurological abnormalities).
2.0 POLICY
2.1 Diagnostic,
evaluation, and treatment services and supplies, including special
education services, provided in conjunction with a learning disorder
may not be cost-shared.
2.2 Learning
disorders, individually and collectively, are not qualifying conditions
for eligibility under the Extended Care Health Option (ECHO). (See
Chapter 9, Sections 2.1 to
2.4).