Section 1200.70  Care Coordination Services Eligibility and Standards

a)         Care coordination services are services paid for or provided by DSCC to promote the effective and efficient organization and utilization of resources to assure access to necessary comprehensive services for children eligible under this Part and their families. Care coordination services may be covered by DSCC for an applicant or recipient child where the applicant or recipient child:

1)         Is under 21 years of age;

2)         Meets or is suspected of meeting the medical eligibility criteria in Section 1200.110; and

3)         Is a resident of Illinois as set forth in Section 1200.100.

b)         Diagnostic services may be provided in accordance with Section 1200.90 only if the criteria of subsection (a)(1) and (a)(3) are met.

c)         There is no financial eligibility criteria for care coordination services.

d)         Eligibility for care coordination services shall be reconsidered every 18 months and whenever a change occurs that impacts medical eligibility.

e)         Eligibility for care coordination services shall end when the requirements of this Section are no longer met, except as provided in Section 1200.170.