REIMBURSEMENT FOR CHILDHOOD CRANIAL REMOLDING ORTHOSIS

(a) In this section, "cranial remolding orthosis" means a custom-fitted or custom-fabricated medical device that is applied to the head to correct a deformity, improve function, or relieve symptoms of a structural cranial disease.

(b) The commission shall ensure medical assistance reimbursement is provided to cover in full the cost of a cranial remolding orthosis for a child who is a medical assistance recipient and has been diagnosed with:

(1) craniosynostosis; or

(2) plagiocephaly or brachycephaly if the child:

(A) is not less than three months of age and not more than 18 months of age;

(B) has had documented failure to respond to conservative therapy for at least two months; and

(C) has one of the following sets of measurements or indications:

(i) asymmetrical appearance confirmed by a right/left discrepancy of greater than six millimeters in a craniofacial anthropometric measurement; or