Connecticut Administrative Code › Title 17b - Social Services › 262 - Requirements for Payment of Home Health Agencies › Requirements for Payment of School Based Child Health Services › Section 17b-262-214 - Definitions

Current through July 10, 2024
For purposes of section 17b-262-213 through 17b-262-224 the following definitions shall apply:
(1)
"Allied Health Professional"
means an individual who is licensed or certified by the Department of Public Health (DPH) or the SDE to provide school based child health services as defined within the context of this regulation.
(2)
"Child"
means an individual as defined in subsection (e) of section 10-76a of the Connecticut General Statutes (CGS).
(3)
"Children Requiring Special Education"
means an individual as defined in subsection (e) of section 10-76a of the CGS.
(4)
"Department"
means the State of Connecticut Department of Social Services (DSS) or its designated agent.
(5)
"Diagnostic Services"
means those services as defined in the Code of Federal Regulations (CFR) under 42 CFR, Part 440, subsection (a) of section 440.130, as amended from time to time.
(6)
"Individualized Education Program (IEP)"
means the ongoing plan of treatment services as defined in section 10-76d-11 of the Regulations of Connecticut State Agencies, and Part B of IDEA, as amended from time to time.
(7)
"Evaluation"
is the process defined under section 10-76d-9 of the Regulations of Connecticut State Agencies.
(8)
"Licensed Practitioner of the Healing Arts"
means those practitioners as defined in section 20-1 of the CGS.
(9)
"Local Educational Agencies" or "Board of Education"
means local or regional boards of education as defined in subsection (b) of section 10-76a-1 of the Regulations of Connecticut State Agencies and in Part B of IDEA, as amended from time to time.
(10)
"Medical Appropriateness/Medically Appropriate"
means health care that is provided in a timely manner and meets professionally recognized standards of acceptable medical care; is delivered in the appropriate setting; and is the least costly of multiple, equally- effective, alternative treatments or diagnostic modalities.
(11)
"Medically Necessary"
means medical care provided to correct or diminish the adverse affects of a medical condition, assist an individual in attaining or maintaining an optimal level of well being, diagnose a condition or prevent a medical condition from occurring.
(12)
"Planning and Placement Team"
means the definition contained in subsection (p) of section 10-76a-1 of the Regulations of Connecticut State Agencies.
(13)
"Provider"
means the local educational agencies or boards of education that participate in the medicaid program as providers of school based child health ("SBCH") services.
(14)
"Qualified SBCH Service Providers"
include but, are not limited to: licensed physician, licensed osteopath, licensed optometrist, licensed chiropractor, licensed naturopath, licensed audiologist, speech therapy assistants working under the direction of licensed speech pathologists, licensed speech pathologist, licensed advanced practice registered nurse (APRN), licensed registered nurse (RN), licensed physician assistant, licensed practical nurse (LPN), licensed psychologist, certified family and marital counselors, SDE certified school psychologist, SDE certified school social worker, DPH certified independent social worker, DPH certified substance abuse counselor, DPH certified marital and family therapist, SDE certified school counselor, SDE certified guidance counselor, licensed occupational therapist, licensed occupational therapy assistant, licensed physical therapist, physical therapist assistant meeting requirements of section 20-66 of the CGS, licensed respiratory care practitioner and licensed optometrist.
(15)
"Rehabilitative Services"
are those services as defined under 42 CFR, Part 440, subsection (d) of section 440.130, as amended from time to time.
(16)
"School Based Child Health Services"
are those diagnostic and rehabilitative treatment services which are medically necessary and appropriate and which meet the needs of children as provided in accordance with Part B of IDEA, as amended from time to time, and section 10-76d of the CGS and supporting regulations, and are recommended in writing by a licensed practitioner of the healing arts within each respective practitioner's scope of practice as defined under state law in accordance with 42 CFR, Part 440, subsections (a) and (d) of section 440.130, as amended from time to time.
(17)
"Triennial Reevaluation"
is the process of reevaluation at least once every three years as described under section 10-76d-9 of the Regulations of Connecticut State Agencies.
(18)
"Type of Placement"
means, for the purposes of this regulation, the type of setting in which the child receives special education services. These settings include, but are not limited to: in-district, out-of-district public residential, out-of-district private residential, out-of-district public day and out-of-district private day.