Definitions

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As used in this subchapter:

  1. (1) “Accredited entity” means a corporate entity that:

    1. (A) Has successfully completed an ongoing accreditation process that is offered by a national accrediting organization and is related to the delivery of early intervention day treatment services; and

    2. (B) Satisfies all certification and licensure criteria established by the Department of Human Services for the delivery of early intervention day treatment services;

  2. (2)

    1. (A) “Early intervention day treatment” means services provided by a pediatric day treatment program run by early childhood specialists, overseen by a physician, and serving children with developmental disabilities, developmental delays, or a medical condition that puts them at risk for developmental delay.

    2. (B) Early intervention day treatment includes without limitation diagnostic, screening, evaluative, preventive, therapeutic, palliative, and rehabilitative and habilitative services, including speech, occupational, and physical therapies and any medical or remedial services recommended by a physician for the maximum reduction of physical or mental disability and restoration of the child to the best possible functional level.

    3. (C) Early intervention day treatment or a successor program constitutes the state's early intervention day treatment program;

  3. (3)

    1. (A) “Early intervention day treatment services operated by an academic medical center” means an academic medical center program specializing in developmental pediatrics that is administratively staffed and operated by an academic medical center and under the direction of a board-certified or board-eligible developmental pediatrician.

    2. (B) An academic medical center consists of a medical school and its primary teaching hospitals and clinical programs.

    3. (C) Early intervention day treatment services operated by an academic medical center may be provided at different sites operated by the academic medical center if the early intervention day treatment services program falls under one (1) administrative structure within the academic medical center;

  4. (4) “Existing operations” means services provided by an early intervention day treatment services program that has submitted a completed application to the Division of Medical Services to serve as a Medicaid provider no later than July 1, 2013;

  5. (5) “Medicaid” means the medical assistance program authorized under Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq., and established under § 20-77-101 et seq., that provides for payments for medical goods or services on behalf of indigent families with dependent children and of individuals who are aged, blind, or disabled and whose income and resources are insufficient to meet the cost of necessary medical services;

  6. (6) “National accrediting organization” includes without limitation:

    1. (A) The CARF International; or

    2. (B) Any other similar national accrediting organization recognized by the Division of Developmental Disabilities Services; and

  7. (7) “Successor program” means a program:

    1. (A) That provides early intervention day treatment to children;

    2. (B) That is created as a replacement for, combination of, or derived in whole or in part from the early intervention day treatment services program for children; and

    3. (C) In which the for-profit and nonprofit providers from early intervention day treatment services programs are eligible to participate.


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