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Record Review

Record reviews are shared with team members by support coordinators. The team member(s) are allowed up to 1 unit of non-direct time to review the medical record or other records and determine if the child qualifies based. This unit may be shared across team members if necessary.

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The following records may be reviewed to determine eligibility:

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1. Medical records stating an established condition.  The following conditions are considered established conditions by AZEIP:

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1. Chromosomal abnormalities;

2. Genetic or congenital disorders;

3. Disorders reflecting disturbance of the development of the nervous system, such as autism spectrum disorders, seizure disorders, and children born addicted to narcotics, alcohol or an illegal substance;

4. Congenital Infections, such as congenital cytomegalovirus, congenital toxoplasmosis and congenital rubella;

5. Metabolic disorders;

6. Hydrocephalus;

7. Neural tube defects (e.g., spinal bifida);

8. Intraventricular hemorrhage, Grade III or IV;

9. Periventricular leukomalacia;

10. Cerebral Palsy;

11. Significant auditory impairment;

12. Significant visual impairment;

13. Failure to thrive/pediatric undernutrition;

14. Severe attachment disorders; and

15. Disorders secondary to exposure to toxic substances, including fetal alcohol syndrome

16. NOTE: At risk diagnosis are not considered a reason as an established condition.

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2. Other records, including multidisciplinary evaluation, documenting 50% developmental delay in one or more areas of development which are tested in an evaluation

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a. The record MUST be reviewed by a team member of the same discipline as the qualified professional who completed the record.

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b. However, if a multidisciplinary evaluation was used, two team members (DSI, OT, PT, SLP, Psych, SW, Hearing or Vision Specialist) must review the record.

 

Records cannot be older than 6 months.

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