Required WAC Inpatient rehabilitation facilities and professional services Rehabilitative and Rehabilitative delivered in those facilities; Habilitative and WAC Outpatient physical therapy, occupational therapy and speech Services (EHB) Habilitative therapy for rehabilitative purposes; (Cont’d) Services (EHB) WAC Braces, splints, prostheses, orthopedic appliances and orthotic (Cont’d) devices, supplies or apparatus used to support, align or correct deformities or to improve the function of moving parts; and WAC Durable medical equipment and mobility enhancing equipment used to serve a medical purpose, including sales tax. Optional WAC Plan may, but is not required to, include the following services as Rehabilitative part of the EHB-benchmark package. If plan includes these and benefits, they cannot be included in establishing AV for this Habilitative WAC category: Services 5642(7)(c)(i) Off-the-shelf shoe inserts and orthopedic shoes; (7)(c)(ii) Exercise equipment for medically necessary conditions; WAC Durable medical equipment that serves solely as a comfort or convenience item; and (7)(c)(iv) Hearing aids other than cochlear implants. Habilitative WAC For purposes of determining a plan's AV, issuer must classify as Services habilitative services the range of medically necessary health care Definition services and devices designed to assist a person to keep, learn or improve skills and functioning for daily living. Examples include services for a child who isn't walking or talking at the expected age, or services to assist with keeping or learning skills and
Rehabilitative and Habilitative Services (EHB) (Cont’d) Required Rehabilitative and Habilitative Services (EHB) (Cont’d) WAC Inpatient rehabilitation facilities and professional services delivered in those facilities; WAC Outpatient physical therapy, occupational therapy and speech therapy for rehabilitative purposes; WAC Braces, splints, prostheses, orthopedic appliances and orthotic devices, supplies or apparatus used to support, align or correct deformities or to improve the function of moving parts; and WAC Durable medical equipment and mobility enhancing equipment used to serve a medical purpose, including sales tax. Optional Rehabilitative and Habilitative Services WAC WAC 5642(7)(c)(i) Plan may, but is not required to, include the following services as part of the EHB-benchmark package. If plan includes these benefits, they cannot be included in establishing AV for this category: Off-the-shelf shoe inserts and orthopedic shoes; (7)(c)(ii) Exercise equipment for medically necessary conditions; WAC Durable medical equipment that serves solely as a comfort or convenience item; and (7)(c)(iv) Hearing aids other than cochlear implants. Habilitative Services Definition WAC For purposes of determining a plan's AV, issuer must classify as habilitative services the range of medically necessary health care services and devices designed to assist a person to keep, learn or improve skills and functioning for daily living. Examples include services for a child who isn't walking or talking at the expected age, or services to assist with keeping or learning skills and
cl-forms-19-hcsc-ind-analyst-checklist.docx