Consolidated and B-6-d: Level of Care 3. Developmental Disabilities prior to 3. Developmental Disabilities Public comment P/FDS Criteria age 8 ICF/ORC prior to age 8 9 ICF/ORC recommended the maximum i. There are four fundamental criteria i. There are four fundamental age for developmental that must be met prior to an criteria that must be met prior to disability be increased from individual being determined eligible an individual being determined age seven to age eight when for an ICF/ORC level of care: eligible for an ICF/ORC level of IQ testing and diagnosis 1. Have a diagnosis of developmental care: become more stable and disability. Eligibility criteria is defined 1. Have a diagnosis of reliable. as the following: developmental developmental disability. disability is defined as a Eligibility criteria is defined as the condition of substantial following: developmental developmental delay or specific disability which is defined as a congenital or acquired conditions condition of substantial with a high probability of resulting in developmental delay or specific an intellectual disability or autism, congenital or acquired conditions the disability manifested prior to the with a high probability of age of 8 and the disability is likely to resulting in an intellectual continue indefinitely. disability or autism, the disability 2. Individual is 7 years of age or manifested prior to the age of 8 9 younger; and and the disability is likely to 3. Substantial adaptive skills deficits continue indefinitely. in three or more areas of major life 2. Individual is 7 8 years of age or activity: self-care, understanding and younger; and use of language, learning, mobility, 3. Substantial adaptive skills self-direction and/or capacity for deficits in or more areas of independent living based on a major life activity: self-care, standardized adaptive functioning; understanding and use of and language, learning, mobility, 4. Be recommended for an ICF/ORC and/or capacity for level of care based on a medical independent living based on a evaluation. standardized adaptive functioning; and 4. Be recommended for an ICF/ORC of care based on a medical evaluation. Consolidated and B-6-f: Process for The following four criteria must be The following four criteria must Public comment P/FDS of Care met to document a diagnosis of be met to document a diagnosis recommended that we add Evaluation/Reevaluation developmental disability and of developmental disability and developmental pediatricians
Consolidated and P/FDS B-6-d: Level of Care Criteria 3. Developmental Disabilities prior to age 8 ICF/ORC i. There are four fundamental criteria that must be met prior to an individual being determined eligible for an ICF/ORC level of care: 1. Have a diagnosis of developmental disability. Eligibility criteria is defined as the following: developmental disability is defined as a condition of substantial developmental delay or specific congenital or acquired conditions with a high probability of resulting in an intellectual disability or autism, the disability manifested prior to the age of 8 and the disability is likely to continue indefinitely. 2. Individual is 7 years of age or younger; and 3. Substantial adaptive skills deficits in three or more areas of major life activity: self-care, understanding and use of language, learning, mobility, self-direction and/or capacity for independent living based on a standardized adaptive functioning; and 4. Be recommended for an ICF/ORC level of care based on a medical evaluation. 3. Developmental Disabilities prior to age 8 9 ICF/ORC i. There are four fundamental criteria that must be met prior to an individual being determined eligible for an ICF/ORC level of care: 1. Have a diagnosis of developmental disability. Eligibility criteria is defined as the following: developmental disability which is defined as a condition of substantial developmental delay or specific congenital or acquired conditions with a high probability of resulting in an intellectual disability or autism, the disability manifested prior to the age of 8 9 and the disability is likely to continue indefinitely. 2. Individual is 7 8 years of age or younger; and 3. Substantial adaptive skills deficits in or more areas of major life activity: self-care, understanding and use of language, learning, mobility, and/or capacity for independent living based on a standardized adaptive functioning; and 4. Be recommended for an ICF/ORC of care based on a medical evaluation. Public comment recommended the maximum age for developmental disability be increased from age seven to age eight when IQ testing and diagnosis become more stable and reliable. Consolidated and P/FDS B-6-f: Process for of Care Evaluation/Reevaluation The following four criteria must be met to document a diagnosis of developmental disability and The following four criteria must be met to document a diagnosis of developmental disability and Public comment recommended that we add developmental pediatricians
c_260172.docx