1. (a) CHC may provide assistance with the following categories of services and supports, up to the applicable service and support limits:

   1. (1)

      1. (A) Medically necessary item or equipment.
      2. (B)

2. (i) A medically necessary item or piece of equipment that is prescribed by a primary care physician, specialty physician, physician’s assistant, or advanced practice registered nurse that addresses the eligible condition or conditions, and is not otherwise covered by insurance, including Medicaid State Plan or Medicaid Early and Periodic Screening, Diagnosis, and Treatment.

   1. (ii) The following will not be covered by CHC:
3. (a) (a) Continuous positive airway pressure (CPAP) machines/bilevel positive airway pressure (BiPAP) machines;

4. (b) (b) Intrapulmonary percussive ventilator (IPV);

   1. (c) (c) Insufflator/exsufflator (cough assist) machines, unless the child is not eligible for Medicaid coverage; and

      1. (d) (d) Prescription or over-the-counter medication;

   2. (2)

      1. (A) Parent education.
      2. (B) Fees and necessary expenses associated with parents attending conferences and workshops related to the needs of an eligible child.
      3. (C) Parent education may also include purchase of books, tapes, or other educational materials.
      4. (D) The activity or material must assist the parent in acquiring knowledge of their eligible child’s CHC qualifying disability or delay;

   3. (3)

      1. (A) Medical camps.
      2. (B) Camps specifically designed to provide opportunities for children with medical needs or developmental delays to increase independence and learn from social interactions with peers.
      3. (C) The camp must be designed to meet that child’s specific medical or developmental needs;

   4. (4)

      1. (A) Adaptive equipment.

      2. (B)

         1. (i) Any assistive technology device, equipment, or product system that is used to increase, maintain, or improve the performance of ADLs for an eligible child.
         2. (ii) This excludes any environmental modifications.

      3. (C) Adaptive equipment may be:

         1. (i) Purchased off-the-shelf;
         2. (ii) Modified; or
         3. (iii) Custom made.
      4. (D) All adaptive equipment must be prescribed by an appropriate, licensed clinician;

   5. (5)

      1. (A) Respite services.

      2. (B)

         1. (i) Respite services provide temporary relief, allowing the primary caregiver of a child with a disability or special healthcare needs to have an occasional break from caring for the child.
         2. (ii) The primary caregiver must be the guardian of the child.
         3. (iii)
5. (a) (a) To qualify for respite services, the child must have deficits in at least two (2) ADLs or must have recently had an emergency or crisis that requires respite to allow the situation to deescalate.

6. (b) (b) Note. An example of an emergency or crisis would be when the primary caregiver of the child is scheduled for surgery and will need assistance.

   1. (C) Approved respite funding must be paid to a Medicaid enrolled provider of respite, supportive living, or personal care services; and

   2. (6)

      1. (A) Vehicle modification.

      2. (B)

         1. (i) Modification to a vehicle that allows the vehicle to be accessible to an eligible child and increase the eligible child’s mobility or access to services.
         2. (ii) The vehicle must be owned by the family or the eligible individual.
         3. (iii) Examples of allowed vehicle modifications include lift installation or wheelchair carrier.
         4. (iv) The modification must be in accordance with Americans with Disabilities Act requirements and necessary to maintain the individual in the community.
      3. (C) Vehicle modifications will only be provided once to each eligible child or his or her family.
7. (b) Service limits are subject to change based on available funding and are published here.

Codification Notes: Americans with Disabilities Act is codified primarily at 42 U.S.C. § 12101 et seq.