Children’s Rehabilitative Services (CRS) - Changes Effective 10/1/15 Revised CRS Rules Newborn approvals

CRS Rule - Deletions Hypothyroidism Hypospadias Gastroesophageal reflux (GERD) that has failed treatment with drugs or biologicals and requires surgery Flat Feet (Complicated) 2 Reaching across Arizona to provide comprehensive quality health care for those in need

CRS Rule – Deletions Continued Dorsal Bunion Metatarsus Primus Varus Benign Bone Tumor Musculoskeletal injury >3 months 3 Reaching across Arizona to provide comprehensive quality health care for those in need

CRS Rule - Additions Atypical cystic fibrosis Exstrophy of the bladder Dysplastic kidney disease Aortic aneurysm Lymphangioma Upper/lower limb malformations 4 Reaching across Arizona to provide comprehensive quality health care for those in need

CRS Rule - Changes Leg length discrepancy – from 5cm to 2cm Craniosynostosis – age and sutures deleted Hemangioma – requires laser or surgery 5 Reaching across Arizona to provide comprehensive quality health care for those in need

CRS Rule - Changes If a member was considered to be in a “Vegetative state” then they were not eligible for CRS we have not found any provider willing to say a child is in a vegetative state so we removed this from rule 6 Reaching across Arizona to provide comprehensive quality health care for those in need

CRS Rule – What is Staying Juvenile rheumatoid arthritis 7 Reaching across Arizona to provide comprehensive quality health care for those in need

Newborn Changes If a CRS Application is received on a newborn (28 days old or less) and the case is approved, the effective date will be retroactive to the date of birth 8 Reaching across Arizona to provide comprehensive quality health care for those in need

Questions? 9

Thank You. 10 Reaching across Arizona to provide comprehensive quality health care for those in need