Idaho Admin. Code r. 16.03.09.572

Current through September 2, 2024
Section 16.03.09.572 - CHIS: ELIGIBILITY REQUIREMENTS
01.Medicaid Eligibility. Participants must be eligible for Medicaid and the service for which the CHIS provider is seeking reimbursement.
02.Age of Participants. CHIS are available to participants from birth through the month of their twenty-first birthday.
03.Eligibility Determination. Participants eligible to receive CHIS must have a demonstrated functional need or a combination of functional and behavioral needs that require intervention services; or requires intervention to correct or ameliorate their condition in accordance with Section 880 of these rules. A functional or behavioral need is determined by the Department approved screening tool when a deficit is identified in three (3) or more of the following areas: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living, economic self-sufficiency, or maladaptive behavior. A deficit is defined as one-point-five (1.5) or more standard deviations below the mean for functional areas or above the mean for maladaptive behavior.

Idaho Admin. Code r. 16.03.09.572

Effective March 17, 2022