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 part Services of the EHB-benchmark package. If plan includes these benefits, they cannot be included in establishing AV for this category: 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 For purposes of determining a plan's AV, issuer must classify as Services WAC 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 functioning within an individual's environment, or to compensate for a person's progressive physical, cognitive, and emotional illness. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient or outpatient settings. Requirement WAC for As a minimum level of coverage, limitations on habilitative services Habilitative / must be on parity with those for rehabilitative services. Plan may Rehabilitative include such limitations only if the limitations take into account the Services unique needs of the individual, and target measurable and specific Parity treatment goals appropriate for the person's age and physical and mental condition.
WAC Durable medical equipment and mobility enhancing equipment used to serve a medical purpose, including sales tax. Optional Services 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 functioning within an individual's environment, or to compensate for a person's progressive physical, cognitive, and emotional illness. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient or outpatient settings. Requirement for Habilitative / Rehabilitative Services Parity WAC As a minimum level of coverage, limitations on habilitative services must be on parity with those for rehabilitative services. Plan may include such limitations only if the limitations take into account the unique needs of the individual, and target measurable and specific treatment goals appropriate for the person's age and physical and mental condition.
cl-forms-19-disability-sg-analyst-checklist.docx