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August 2014 CSHCN Services Program Provider Manual

24 Hospital : Outpatient Services : Benefits, Limitations, and Authorization Requirements : Sleep Studies

24.4.1.5 Sleep Studies
Polysomnography, multiple sleep latency tests, and pediatric pneumograms may be a benefit of the CSHCN Services Program.
Sleep facilities that perform services for CSHCN Services Program clients must be accredited with the American Academy of Sleep Medicine (AASM) or the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Documentation of accreditation must be maintained in the facility and be available for review. Sleep facilities must also follow current AASM practice parameters and clinical guidelines. Providers may refer to the AASM website at www.aasmnet.org for AASM facility certification requirements or to the JCAHO website at www.jointcommission.org for JCAHO facility accreditation information.
Sleep facility technicians and technologists must demonstrate that they have the skills, competencies, education, and experience that are set forth by their certifying agencies and AASM as necessary for advancement in the profession.
The sleep facility must have one or more supervision physicians who are responsible for the direct and ongoing oversight of the quality of the testing performed, the proper operation and calibration of the equipment used to perform the tests, and the qualifications of the non-physician staff who use the equipment.
Refer to:

Texas Medicaid & Healthcare Partnership
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