Children's Intervention Services 
 
Overview 
The Children's Intervention Services (CIS) Program offers coverage for restorative and rehabilitative services to eligible members in noninstitutional settings, including their home, therapist's office or other approved community setting. CIS must be determined to be medically necessary, recommended and documented as appropriate interventions by a physician. NOTE: Hospital-employed therapists who are enrolled in the CIS program may provide services and bill for services rendered in the 
hospital outpatient facility or outpatient clinic. 
 
Why Is the Program Important? 
The intent of the program is to minimize the effects of a physical disability or developmental delay and improve the functional level of the child. 
Why Does the Program Require Prior Authorizations? 
The Georgia Department of Community Health (DCH) strives to ensure the right care is provided to the right children at the right time. A child's need for therapy can change over time, and by standardizing the Prior Authorization (PA) review process and assuring medical necessity, DCH can be confident that the program meets each child's medical needs. 
What Has DCH Done to Enhance Children's Intervention Services systems? 
 DCH allows Clinical Fellows to render services under the direct supervision of a Georgia licensed, enrolled speech language pathologist. 
 DCH allows counseling services and limited speech therapy services to be rendered via telemedicine. 
 DCH has launched the Centralized Prior Authorization (PA) Portal. This enhancement allows participating Georgia Medicaid providers to submit PA requests for Fee-for-Service (FFS) and Care Management Organizations (CMOs) through one centralized source. 
 DCH allows hospital-based providers to enroll in the CIS Program with the ability to see members at their local medical facility. 
 
Services and Eligibility 
Services  Audiology  Nursing  Nutrition provided by licensed dieticians  Occupational Therapy  Physical Therapy  Counseling provided by licensed clinical social workers  Speech-language pathology 
Eligibility Medicaideligible members from birth up to the age of 21 with physical disabilities or with a developmental delay who have demonstrated medical necessity for rehabilitative or restorative intervention services ordered by a physician. 
 
For More Information 
Visit www.dch.georgia.gov for additional information. 
 
6G5e6or-g4ia5D0epartment of Community Health | 2 Peachtree Street NW, Atlanta, GA 30303 | www.dch.georgia.gov | 404-656-4507 
September 2017