Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 1200 - PROGRAM CONTENT AND GUIDELINES FOR DIVISION OF SPECIALIZED CARE FOR CHILDREN › Section 1200.120 - Financial Assistance for Covered Supports and Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) When the financial assistance criteria of
			 Section
			 1200.80 are
			 met, DSCC may provide financial assistance for the following:
1) Consultative services.
2) Continuing outpatient supervision of the
			 medically eligible condition and associated health impairments, including
			 office or clinic visits.
3)
			 Hospitalization and inpatient medical and/or surgical treatment, including
			 special rehabilitation services. Provided, however, that procedures, tests or
			 services shall not be performed on an inpatient basis if, under medical
			 professional standards they are usually and customarily performed in outpatient
			 facilities, unless determined to be medically indicated by the Director or
			 designee based on the recommendation of the recipient or applicant child's
			 treating physician.
4) Home based
			 care intended to prevent continued hospitalization, excluding continuing care
			 nursing, life support systems, or high technology equipment and related
			 supplies. The care is limited to training of parents and/or community
			 healthcare providers; provision of medically necessary recommended equipment
			 and supplies; and periodic visiting nurse and/or related health personnel
			 supervision.
5) Assistive
			 appliances; mechanical, structural or electrical equipment intended to support,
			 replace or augment a dysfunctioning or nonfunctioning part of the body, such as
			 braces, prosthetic limbs, hearing aids, wheelchairs, related adaptive devices;
			 and special supplies determined medically necessary to accomplish
			 rehabilitation or habilitation goals. Excluded are fixed architectural
			 modifications of the dwelling and property related thereto in which the
			 Recipient or Applicant Child resides. External ramps and/or mechanical lifts
			 needed to provide the Recipient or Applicant Child access to the dwelling are
			 not excluded.
6) Speech, physical
			 and occupational therapy.
7)
			 Nutrition evaluation and guidance and provision of special dietary substances
			 upon medical recommendation, except those dietary substances available through
			 programs of public or private agencies established for those
			 purposes.
8) Specialized dental
			 care, such as orthodontia, prosthodontia, or oral surgery as required to
			 further the treatment plan of a recipient or applicant child with severe
			 oro-craniofacial deformities (e.g., cleft lip and/or cleft palate) or severe
			 congenital malformation of the teeth (e.g., anodontia or dentinogenesis
			 imperfecta). Routine preventive or restorative dentistry is not provided except
			 for recipient or applicant children for whom this service is a specific
			 recommendation to be integrated into an authorized orthodontic or prosthodontic
			 plan.
9) Arrangements for home
			 follow-up services by public health and/or related rehabilitative or
			 habilitative services personnel.
10) Prescriptive drugs.
11) Genetic evaluation and family
			 counseling.
12) Psychological and
			 psychiatric evaluation.
13)
			 Medically necessary supports and services for the treatment of associated
			 health impairments.
14)
			 Transportation, lodging, meals and parking costs for the LRA, applicant or
			 recipient child, and any additional caretaker whose presence is medically
			 required to provide care for the applicant or recipient child:
A) When necessary to make recommended
			 supports and services accessible;
B) When no other sources are available for
			 this purpose; and
C) By the most
			 economically appropriate method and at a cost not exceeding limitations set
			 forth in the Reimbursement Schedule of the Travel Regulation Council (80 Ill.
			 Adm. Code 3000. Appendix A). DSCC will prescribe the form and procedure
			 families must follow in order to verify and be reimbursed for expenses. When
			 circumstances so dictate to meet the healthcare needs of the applicant or
			 recipient child, the Director or designee shall authorize payments in excess of
			 the amount stated in this subsection (a)(14)(C).