1.0 CPT PROCEDURE CODES
97504, 97520, 97535, 97542,
99199, 99600
2.0 POLICY
2.1 Training
when required to allow the use of an assistive technology device
or to acquire skills which are expected to assist the beneficiary
in reducing the disabling effects of a qualifying condition may
be cost-shared as an Extended Care Health Option (ECHO) benefit
subject to all applicable ECHO requirements.
2.2 Training for parents (or guardians)
and siblings of an ECHO beneficiary when required as an integral
part of the management of the qualifying condition may be cost-shared
as an ECHO benefit subject to all applicable ECHO requirements.
2.3 Vocational training, in the
beneficiary’s home or a facility providing such, is an allowed ECHO benefit.
2.4 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.