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 mental retardation, 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).