|(a) Autism screening is not required if the child has
been screened for autism by another entity or has been identified
as having autism.
(b) The contractor does not diagnose autism.
(c) If an enrolled child is 18 months or older, the
interdisciplinary team must determine if the child:
(1) has a family history of autism;
(2) has lost previously acquired speech or social skills;
(3) exhibits a language or cognitive delay or unusual
communication patterns combined with a social, emotional or behavioral
concern, including repetitive or stereotypical behaviors.
(d) If the interdisciplinary team identifies any of
the issues in subsection (c) of this section, a member of the team
(1) explain to the family the importance of early screening
(2) request and obtain written consent for the screening;
(3) complete the Modified Checklist for Autism in Toddlers
Revised (M-CHAT-R) if the child is not screened by the child's licensed
health care provider or is unable to receive the screening from the
child's licensed health care provider in a timely manner; and
(4) complete the M-CHAT-R follow-up interview for a
child who does not pass the M-CHAT-R screening.
(e) The contractor must make appropriate referrals
if needs are identified. This could include:
(1) a referral to appropriate clinicians for a child
who does not pass both the M-CHAT-R and the follow-up interview; and
(2) the provision of case management to assist the
parent with having an autism screening done by the child's licensed
health care provider if they do not consent to a screening by the
(f) The use of the M-CHAT-R screening does not take
the place of the appropriate evaluation of the child required under