Type of Provider:  Dentist - Endodontics

Approval Criteria:

1. Licensed as a dentist by the State of Illinois or the state in which the services are being provided.
   
   
2. Licensed as an endodontist by the State of Illinois or the state in which the services are being provided.
   
   

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.
  
  
• Member of multidisciplinary team.
  
  
• Affiliated with medical/dental school.
  
  
• Experience with pediatric population.
  
  

Type of Provider:   Dentist - Oral Surgery

Approval Criteria:

1. Licensed as a dentist by the State of Illinois or the state in which the services are being provided.
   
   
2. Licensed as an oral surgeon by the State of Illinois or the state in which the services are being provided.
   
   
3. Practice restricted to oral surgery.
   
   
4. Patient caseload consists of at least 20% pediatric cases.

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.
  
  
• Member of craniofacial anomalies team.
  
  
• Affiliated with medical/dental school.
  
  
• Extensive experience with pediatric population.
  
  
• Extensive experience with patients with craniofacial anomalies.

Type of Provider:   Dentist - Orthodontics

1. Licensed as a dentist by the State of Illinois or the state in which the services are being provided.
   
   
2. Licensed as an orthodontist by the State of Illinois or the state in which the services are being provided.
   
   
3. Minimum of 50% of practice involving children.
   

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in Illinois. Such medical malpractice insurance shall be in minimum amounts of $1,000,000 per claim and $3,000,000 aggregate.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.
  
  
• Member of craniofacial anomalies team.
  
  
• Affiliated with medical/dental school.
  
  
• Experience with craniofacial malformations.

Type of Provider:   Dentist - Pediatric Dentistry

Approval Criteria:

1. Licensed as a Dentist by the State of Illinois or the state in which the services are being provided.
   
   
2. Licensed as a Pediatric Dentist by the State of Illinois or the state in which the services are being provided.
   

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in Illinois. Such medical malpractice insurance shall be in minimum amounts of $1,000,000 per claim and $3,000,000 aggregate.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare reimbursement
  
  
• Member of multidisciplinary team.
  
  
• Affiliated with medical/dental school.

Type of Provider:   Dentist - Periodontics

Approval Criteria:

1. Licensed as a dentist by the State of Illinois or the state in which the services are being provided.
   
   
2. Licensed as a periodontist by the State of Illinois or the state in which the services are being provided.
   

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in Illinois. Such medical malpractice insurance shall be in minimum amounts of $1,000,000 per claim and $3,000,000 aggregate.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and KidCare reimbursement.
  
  
• Member of multidisciplinary team.
  
  
• Affiliated with medical/dental school.
  
  
• Experience with pediatric population.

Type of Provider:   Dentist - Prosthodontics

Approval Criteria:

1. Licensed as a dentist by the State of Illinois or the state in which the services are being provided.
   
   
2. Licensed as a prosthodontist by the State of Illinois or the state in which the services are being provided.
   
   
3. Patient caseload is at least 10% pediatric.
   

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in Illinois. Such medical malpractice insurance shall be in minimum amounts of $1,000,000 per claim and $3,000,000 aggregate.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and KidCare reimbursement.
  
  
• Member of craniofacial anomalies team.
  
  
• Affiliated with medical/dental school.

Type of Provider:   Audiologist

Approval Criteria:

1. Master’s degree in audiology and/or communication disorders from an ASHA accredited institution.
   
   
2. Licensed as an audiologist in Illinois or in the state in which services are being provided.
   
   
3. Minimum of two years paid professional experience in working with the pediatric population.
   
   
4. Patient caseload which consists of at least 50% pediatric patients.
   
   
5. Meet requirements of a hearing aid dispenser if hearing aid evaluations/fittings are being done.
   

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in Illinois. Such medical malpractice insurance shall be in minimum amounts of $1,000,000 per claim and $3,000,000 aggregate.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and Kidcare reimbursement.
  
  
• Member of multidisciplinary team.
  
  
• Affiliation with medical center/school.
  
  
• CCC/A

Type of Provider:   Genetic Counselor

Approval Criteria:

1. Master’s degree with a major in genetics/genetic counseling.
   
   
2. Provide written evidence of certification in genetic counseling by the American Board of Genetic Counseling.

Additional Requirements:

• Provide evidence of medical malpractice insurance by insurer licensed in Illinois. Such medical malpractice insurance shall be in minimum amounts of $1,000,000 per claim and $3,000,000 aggregate.
  
  
• Maintain continuous medical malpractice insurance coverage and purchase “tail coverage” if malpractice insurance is discontinued or reduced below level described above.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and Kidcare reimbursement.
  

• Affiliated with Regional Genetics Program.
  
  
• Extensive pediatric experience.
  
  
• Affiliation with the teaching hospital of a medical school.

Type of Provider:   Hearing Instrument Dispenser

Approval Criteria:

1. Master’s Degree in Audiology and/or Communication Disorders from an ASHA accredited institution OR certified as a Hearing Instrument Dispenser by the Illinois Department of Public Health.
   

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.

• Extensive experience with pediatric population.

Type of Provider:   Newborn Diagnostic, Audiology

Approval Criteria:

1. Meets DSCC criteria for approval as an audiologist
   
2. Able to perform auditory brainstem response testing (threshold determination).

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement
  
  
• Able to perform otoacoustic emission testing (full scale, not screening) at current practice site.

Type of Provider:   Occupational Therapist

Approval Criteria:

1. Bachelor’s degree/certificate in Occupational Therapy.
   
   
2. Licensed as an occupational therapist in the State of Illinois or the state in which the services are being provided (if license required by that state).
   
   
3. Equivalent of one years paid professional experience in working with physically disabled children; minimum of two years experience if performing wheelchair evaluations.
   
   
4. At least 40% of practice involves treatment of children.
   

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.
  
  
• Member of multidisciplinary team.
  
  
• Affiliation with a Medical Center/School.
  
  
• Completion of a clinical affiliation in pediatrics as part of basic training.

Type of Provider:   Ocularist

Approval Criteria:

1. Certified by the American Society of Ocularists.

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Affiliation with medical center/school.

Type of Provider:   Orthotist

Approval Criteria:

1. Certified by American Board for Certification in Orthotics and Prosthetics, Inc.
   
   
2. Licensed by the State of Illinois or the state in which the services are being provided.
   
   
3. Be affiliated with a vending facility currently approved under the Facility Accreditation Program administered by the American Board for Certification in Orthotics and Prosthetics, Inc.
   

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.
  
  
• Working relationship/affiliation with rehabilitation/amputee center.

Type of Provider:   Physical Therapist

Approval Criteria:

1. Bachelor’s degree/certificate in Physical Therapy.
   
   
2. Licensed by the State of Illinois or the state in which the services are being provided.
   
   
3. Equivalent of one year’s paid professional experience working exclusively with physically disabled children; minimum of two years’ experience if performing wheelchair evaluations.
   
   
4. At least 40% of practice involves treatment of children.
   

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.
  
  
• Member of multidisciplinary team.
  
  
• Affiliation with medical center/school.

Type of Provider:   Prosthetist

Approval Criteria:

1. Certified by American Board of Certification in Orthotics and Prosthetics, Inc.
   
   
2. Licensed by the State of Illinois or the state in which the services are being provided.
   
   
3. Be affiliated with a vending facility currently approved under the Facility Accreditation Program administered by the American Board of Certification in Orthotics and Prosthetics, Inc.

Additional Requirements:

• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria :

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Accept Medicaid and KidCare Reimbursement.
  
  
• Working relationship/affiliation with rehabilitation/amputee center.

Type of Provider:   Speech - Language Pathologist

Approval Criteria:

1. Master’s degree in Speech Pathology and/or Communication Disorders from an ASHA accredited institution.
   
   
2. Minimum of two years’ paid professional experience in working with physically disabled children, including a supervised clinical fellowship year.
   
   
3. Patient population consists of a least 60% pediatric cases.
   
   
4. Licensed as a speech language pathologist.

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.
  
  
• Member of multidisciplinary team.
  
  
• Extensive experience with organic speech problems.
  
  
• Affiliation with Medical Center/School.
  
  
• Certificated by the Illinois State Board of Education.
  
  
• CCC/SP

Type of Provider:   Teacher of the Blind

Approval Criteria:

1. Bachelor’s degree in Education of the Blind.
   
   
2. Certified as a teacher of the blind by the Illinois State Board of Education.
   
   
3. Minimum of two years’ paid professional experience in working with physically disabled children who are blind.
   

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.
  

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement
  

Type of Provider:   Teacher of the Deaf

Approval Criteria:

1. Bachelor’s degree in deaf education.
   
   
2. Certified as a teacher of the deaf by the Illinois State Board of Education.
   
   
3. Minimum of two years’ paid professional experience in working with children with hearing disorders.
   

Additional Requirements:

• Provide evidence of professional malpractice insurance by insurer licensed in the State of Illinois. Such professional liability insurance shall be in minimum amount of $1,000,000 per claim and $3,000,000 aggregate or meet the limits of liability set by law in any state other than Illinois.
  
  
• Maintain general (premises) liability insurance coverage of $1,000,000 per incident.
  
  
• Will not seek further payment from DSCC child or child’s family beyond amount paid by third party payors or DSCC for prior approved care.

Additional Desirable Criteria:

• Accept Medicaid and KidCare Reimbursement.

Type of Center:   Cardiac Center and Cardiac Center Affiliate

Approval Criteria:

The document Standards for Pediatric Cardiology Diagnostic and Treatment Centers is maintained in the Central Administrative Office. Inquiries about Cardiac Center standards should be directed to the DSCC Health Care Provider Liaison in the Central Administrative Office (800-322-3722 or 217-793-2350).

Type of Team:   Cleft Lip/Palate and Craniofacial Anomalies Teams

Approval Criteria:

A Cleft Lip/Palate Core Team must include a DSCC credentialed:

• Plastic Surgeon,
  
  
• Speech-Language Pathologist,
  
  
• Dental Specialist (usually a Pediatric Dentist or Orthodontist), and
  
  
• Otolaryngologist
  
  
• Audiologist
  
  
• Pediatrician
  

Other members (DSCC-approved) who should be available, if needed, include:

• Geneticist
  
  
• Oral Surgeon
  
  

Other members who should be available, if needed, include:

• Psychologist
  
  
• Nurse
  
  
• Social Worker
  
  
• Registered Dietitian
  

Before a team can be approved for participation in the care of DSCC patients, information must be obtained that indicates:

• The core team meets together on a regularly scheduled basis,
  
  
• The team conducts and records interdisciplinary staffings,
  
  AND
  
  
• Other team members (nurses, psychologists, etc.) meet team standards and all applicable licensing and regulatory requirements of the state in which the services are provided. DSCC does not require these members to meet a discipline-specific set of criteria to provide services on the team.
  

A Craniofacial Anomalies Core Team must include a DSCC-approved:

1. Craniofacial Plastic Surgeon (one year fellowship beyond plastic surgery in craniofacial surgery)
   
   
2. Speech-language Pathologist
   
   
3. Neurosurgeon
   
   
4. Pediatric Neurologist
   
   
5. Ophthalmologist
   
   
6. Dental Specialist (usually a pediatric dentist or orthodontist)
   
   
7. Otolaryngologist
   
   
8. Audiologist
   
   
9. Pediatrician
   

Other members (DSCC-approved) who should be available if needed include:

• Geneticist
  
  
• Oral Surgeon

Other members who should be available if needed include:

• Psychologist
  
  
• Nurse
  
  
• Social Worker
  
  
• Registered Dietitian

Before a team can be approved for participation in the care of DSCC patients, information must be obtained that indicates:

• The core team meets together on a regularly scheduled basis,
  
  
• The team conducts and records interdisciplinary staffings, and
  
  
• Other team members (nurses, psychologists, etc.) meet team standards and all applicable licensing and regulatory requirements of the state in which the services are provided. DSCC does not require these members to meet a discipline-specific set of criteria to provide services on the team.

Type of Team:   Cochlear Implant Team

Approval Criteria:

A Cochlear Implant Core Team must include a DSCC-approved:

• Cochlear Implant Otologist
  
  
• Audiologist
  
  
• Speech-Language Pathologist
  
  
• Deaf Educator
  

Additionally, the team must include the following non-criteria based specialists:

• psychologist
  
  
• social worker.
  

Before a team can be approved for participation in the care of DSCC patients, information must be obtained that indicates:

• The core team meets together on a regularly scheduled basis.
  
  
• Has current experience with cochlear implantation.
  
  
• The team conducts and records interdisciplinary staffings,
  
  AND
  
  
• Has other team members (social workers, psychologists, etc.) that meet team standards and all applicable licensing and regulatory requirements of the state in which the services are provided. DSCC does not require these members to meet a DSCC-specific set of criteria to provide services on the team.

Type of Center:   Cystic Fibrosis Center

Approval Criteria:

DSCC approval of a cystic fibrosis center or center satellite requires:

• Center/satellite approval by the National Cystic Fibrosis Foundation, AND
  
  
• DSCC approval of all physicians and staff in specialities approved by DSCC (e.g., pediatric pulmonology, pediatric gastroenterology, pediatric rehabilitation).

Type of Center:   Epilepsy Surgery Center

Approval Criteria:

An Epilepsy Surgery Center must include a DSCC approved:

1. Neurologist with board certification in neurology and special training in invasive intensive neurodiagnostic monitoring (per American EEG Society guidelines for monitoring in epilepsy).
   
   
2. Neurologist with board certification in neurology with special competence in Child Neurology.
   
   
3. Pediatric Neurosurgeon with board certification, special interests in epilepsy, experience in resection of epileptogenic tissue and invasive monitoring techniques.
   
   

   At least one of the above physicians should be certified by the American Board of Clinical Neurophysiology (ABCN).

   Either one of the neurologists or the neurosurgeon should serve as Program Director. If appropriately qualified, a single individual may fill each or all of the neurologist roles noted above.
   
   

4. Electroencephalographer (per American EEG Society guidelines)
   
   

An Epilepsy Surgical Center must include the following providers (Note: DSCC does not require these members to meet a DSCC-specific set of criteria to provide services on the team.):

1. Pediatric Neuropsychologist/neuropsychometrist
   
   
2. Social Worker
   
   
3. Clinical Nurse Specialist/Nurse Clinician
   
   
4. EEG Technologist(s)

An Epilepsy Surgical Center must include the following facility requirements:

• JCAHO or AOA approved hospital with a physically definable pediatric unit;
  
  
• An inpatient recording suite with access to full resuscitative capabilities;
  
  
• A special care unit where the nursing staff is trained in the management of children with epilepsy. The unit's design and furnishings should minimize risk of injury to patients subject to seizures and falls; and
  
  
• Availability of a full spectrum of diagnostic and treatment services on site. In-dwelling electrode monitoring must be performed in a manner that assures electrical safety and meets the standards of the American EEG Society’s recommendations for intensive neurodiagnostic monitoring.

An Epilepsy Surgical Center must provide the following services:

• Electrodiagnostic services
  
  
• Imaging services;
  
  
• Pediatric Neuropsychological/psychosocial services;
  
  
• Pediatric pharmacological expertise;
  
  
• Epilepsy surgery;
  
  
• Rehabilitation (inpatient and outpatient);
  
  
• Consultative expertise (available on site) with psychiatrist, pediatrics and general surgery; and
  
  
• Twenty-four hour pediatric medical coverage on site.

Type of Center:   Genetic Evaluation Center

Approval Criteria:

DSCC approval of a Genetic Evaluation Center requires:

• center approval by the Illinois Department of Public Health, and
  
  
• approval of physicians and staff in disciplines approved by DSCC, e.g., medical genetics, endocrinology (pediatric preferred), genetic counselor.

Type of Center:   Hemophilia Center

Approval Criteria:

DSCC approval of a Hemophilia Center requires:

• certification of the center by the Illinois Hemophilia Program, Department of Healthcare and Family Services and
  
  
• approval of physicians and staff in disciplines usually approved by DSCC, e.g., pediatric hematology, physical therapy, occupational therapy.

Type of Team:   Selective Posterior Rhizotomy Team

Approval Criteria:

A Selective Posterior Rhizotomy Team must include a DSCC approved:

• Neurological Surgeon,
  
  
• Orthopedic Surgeon,
  
  
• Pediatric Physiatrist (physical medicine and rehabilitation) or Pediatric Rehabilitation Specialist,
  
  
• Physical Therapist

Approved specialists who must be available, as needed, include:

• Neurologist, and
  
  
• Occupational Therapist
  

Other members who should be available, when required, include:

• Psychologist
  
  
• Social Worker

Before a team can be approved for participation in the care of DSCC patients, information must be obtained that indicates:

• The core team meets together on a regularly scheduled basis,
  
  
• The team conducts and records interdisciplinary staffings,
  
  
• Other team members (psychologist, social worker) meet DSCC team standards and all applicable licensing and regulatory requirements of the state in which the services are provided.
  
  
• The team members have experience with the rehabilitation process and understand expected outcomes of children following selective posterior rhizotomy.

Type of Group:  Hospital Based Therapy Group

Approval Criteria:

DSCC approval of a Hospital-based Therapy Group requires that:

• the hospital is approved by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the American Osteopathic Association (AOA)
  
  
• all therapists providing services in this discipline have professional liability insurance coverage in amounts required for their discipline, either through individual policies or through coverage provided by the center for its employees,
  
  
• a hospital representative affirms that all therapists meet discipline criteria for their therapy discipline and provides their names, discipline, and license information.

revised 11/05