TRANSMITTAL #: 131

DATE:  08/10/2012

TRICARE CHANGE #:  N/A

CHAMPVA POLICY MANUAL

CHAPTER: 2

SECTION: 18.7

TITLE: SPECIFIC LEARNING DISORDERS

AUTHORITY:  38 CFR 17.270(a) and 17.272(a)

RELATED AUTHORITY:   Public Law 94-142 and 32 CFR 199.4(c)(3)(ix)

I. EFFECTIVE DATE(S)

November 13, 1984

II. DESCRIPTION(S)

A.      Learning disorders are diagnosed when the individual’s achievement on individually administered, standardized tests in reading, mathematics, or written expression, is substantially below that expected for age, schooling and level of intelligence.  The learning problems significantly interfere with academic achievement or activities of daily living that require reading, mathematical, or writing skills.  The learning disorders recognized by the current edition of the Diagnostic and Statistical Manual Disorders are: Reading Disorder, Mathematical Disorder, Disorder of Written Expression and Learning Disorder Not Otherwise Specified.  A condition is not considered a specific learning disorder if it is a result of or is associated with such conditions as mental retardation, infantile autism or pervasive development disorder, visual or hearing impairments, acquired aphasia (normal language followed by onset of language disorder often associated with head trauma, seizures, or EEG abnormalities) or dysarthria (abnormal articulation due to disorders of oral speech mechanisms or documented neurological abnormalities).  

III. POLICY

A.      Diagnostic, evaluation, and treatment services and supplies, including special education services, provided in conjunction with a learning disorder may NOT be cost shared.

B.      Public Law 94 142, the Education for all Handicapped Children Act, requires school districts to make diagnostic and evaluation services related to specific learning disorders available to all school age children within the state.

C.      Public Law 94 142, also requires the states to provide special education and related services (including speech therapy) for children determined to have a learning disability (specific learning disorder).

IV. EXCLUSION(S)

A.      Psychological testing for diagnosed specific learning disorders.

*END OF POLICY*