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Diagnostic Program

Purpose
Children can receive services from BCMH-approved providers to rule out a special health care need, diagnose a condition or develop a plan of treatment.

Although BCMH covers a wide range of services, it is important to know that the BCMH program does not cover all the services a child with special health care needs may require, nor are all services eligible for every diagnosis.  Services must be related to the child’s BCMH-eligible condition.

Eligibility
The applicant must:
·         Be under the age of 21
·         Be a resident of Ohio
·         Be under the care of a BCMH-approved physician
·         Have a suspected special health care need

There is no financial eligibility required for this program; however, information on third-party coverage (Medicaid or insurance) must be supplied.

Services
Services must be related to the suspected handicapping condition and provided by BCMH approved providers.  Services are authorized for three months.

Services include:
·         Tests and X-rays
·         Visits to BCMH-approved doctors (MD or DO)
·         Up to five days in the hospital
·         Public health nursing services
·         Occupational, physical and speech therapy evaluations
·         Dental consults
·         Community nutrition consults

Ineligible Services/Conditions:
·         Acute conditions
·         Assessment of emotional or behavioral problems
·         Routine well child care/physical exams
·         Physical and psychological exams for school or adoptive placement/sports physical exams
·         Evaluation for learning disabilities
·         Any service considered to be research or experimental in nature
·         Out-of-state services, unless comparable services not available to Ohio

Enrollment
A BCMH-approved doctor (MD or DO) must apply to BCMH.  The parent, legal guardian or client (if 18 years of age or older) must sign the Medical Application Form or the Release of Information and Consent before the case can be started.  A public health nurse can also begin the process by referring the child to a BCMH-approved doctor.

 

Last reviewed:  9/16/2014