(B) The system provides for the participa-
tion and coordination of multiple agencies and 
providers that serve the needs of children in the 
area, including agencies and providers involved 
with child welfare, education, juvenile justice, 
criminal justice, health care, mental health, and 
substance abuse prevention and treatment. 
(C) The system provides for the involve-
ment of the families of children to whom mental 
health services and substance abuse treatment 
services are provided in the planning of treat-
ment and the delivery of services. 
(D) The system provides for the develop-
ment and implementation of individualized 
treatment plans by multidisciplinary and multi-
agency teams, which are recognized and fol-
lowed by the applicable agencies and providers 
in the area. 
(E) The system ensures the delivery and 
coordination of the range of mental health serv-
ices and substance abuse treatment services re-
quired by individuals under 22 years of age who 
have a serious emotional disturbance or a sub-
stance abuse disorder. 
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(F) The system provides for the manage-
ment of the individualized treatment plans de-
scribed in subparagraph (D) and for a flexible 
response to changes in treatment needs over 
time. 
(c) TREATMENT OF EXPERIMENTAL SERVICES.—In 
applying subsection (a), the Board shall make national 
coverage determinations with respect to those services that 
are experimental in nature. Such determinations shall be 
made consistent with a process that provides for input 
from representatives of health care professionals and pa-
tients and public comment. 
(d) APPLICATION
OF PRACTICE GUIDELINES.—In 
the case of services for which the American Health Secu-
rity Quality Council (established under section 501) has 
recognized a national practice guideline, the services are 
considered to meet the standards specified in section 
201(a) if they have been provided in accordance with such 
guideline or in accordance with such guidelines as are pro-
vided by the State health security program consistent with 
title V. For purposes of this subsection, a service shall 
be considered to have been provided in accordance with 
a practice guideline if the health care provider providing 
the service exercised appropriate professional discretion to 
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deviate from the guideline in a manner authorized or an-
ticipated by the guideline. 
(e) SPECIFIC LIMITATIONS.— 
(1) LIMITATIONS
ON
EYEGLASSES, CONTACT 
LENSES, HEARING
AIDS, AND
DURABLE
MEDICAL 
EQUIPMENT.—Subject to section 201(e), the Board 
may impose such limits relating to the costs and fre-
quency of replacement of eyeglasses, contact lenses, 
hearing aids, and durable medical equipment to 
which individuals enrolled for benefits under this Act 
are entitled to have payment made under a State 
health security program as the Board deems appro-
priate. 
(2) OVERLAP WITH PREVENTIVE SERVICES.— 
The coverage of services described in section 201(a) 
(other than paragraph (3)) which also are preventive 
services are required to be covered only to the extent 
that they are required to be covered as preventive 
services. 
(3) MISCELLANEOUS EXCLUSIONS FROM COV-
ERED SERVICES.—Covered services under this Act 
do not include the following: 
(A) Surgery and other procedures (such as 
orthodontia) performed solely for cosmetic pur-
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