To encourage the early identification and treatment of sepsis, and for consistency with the ICD-10 coding classification system utilized by the federal Centers for Medicare and Medicaid Services, the Department for Medicaid Services and any managed care organization with which the department contracts for the delivery of Medicaid services shall use and apply clinical criteria for sepsis that requires no more than: (1) A provider's diagnosis of sepsis and that a suspected or confirmed source of infection is present; and (2) The presence of two (2) or more symptoms indicating inflammatory response syndrome which may include elevated values of the patient's body temperature, heart rate, white blood count, or respiratory rate.
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