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

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

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CRS Rule - Deletions• Hypothyroidism

• Hypospadias

• Gastroesophageal reflux (GERD) that has failed treatment with drugs or biologicals and requires surgery

• Flat Feet (Complicated)

Reaching across Arizona to provide comprehensive quality health care for those in need

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CRS Rule – Deletions Continued• Dorsal Bunion

• Metatarsus Primus Varus

• Benign Bone Tumor

• Musculoskeletal injury >3 months


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CRS Rule - Additions• Atypical cystic fibrosis

• Exstrophy of the bladder

• Dysplastic kidney disease

• Aortic aneurysm

• Lymphangioma

• Upper/lower limb malformations


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CRS Rule - Changes• Leg length discrepancy –

from 5cm to 2cm

• Craniosynostosis – age and sutures deleted

• Hemangioma – requires laser or surgery


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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


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CRS Rule – What is Staying• Juvenile rheumatoid arthritis


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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


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Questions?


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Thank You.


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

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