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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.

The following records may be reviewed to determine eligibility:

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

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.

 

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

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

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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