Common use of Habilitative Services Clause in Contracts

Habilitative Services. We cover Medically Necessary Services, including speech therapy, occupational therapy and physical therapy, for children under the age of 21 years with a congenital or genetic birth defect, to enhance the child’s ability to function. Medically Necessary habilitative Services are those Services designed to help an individual attain or retain the capability to function age- appropriately within his or her environment, and shall include Services that enhance functional ability without effecting a cure. Congenital or genetic birth defect means a defect existing at or from birth, including a hereditary defect. Congenital or genetic birth defect means a defect existing at or from birth, including a hereditary defect. The term “congenital or genetic birth defect includes: (1) autism or an autism spectrum disorder and (2) cerebral palsy. Habilitative Services Exclusions: • Assistive technology Services and devices. • Services provided through federal, state or local early intervention programs, including school programs. • Services not preauthorized by Health Plan.

Habilitative Services. We cover Medically Necessary Services, including speech therapy, occupational therapy and physical therapy, for children under the age of 21 years with a congenital or genetic birth defect, to enhance the child’s ability to function. Medically Necessary habilitative Services are those Services designed to help an individual attain or retain the capability to function age- appropriately within his or her environment, and shall include Services that enhance functional ability without effecting a cure. Congenital or genetic birth defect means a defect existing at or from birth, including a hereditary defect. Congenital or genetic birth defect means a defect existing at or from birth, including a hereditary defect. The term “congenital or genetic birth defect includes: (1) autism or an autism spectrum disorder and (2) cerebral palsy. Habilitative Services Exclusions: •  Assistive technology Services and devices. •  Services provided through federal, state or local early intervention programs, including school programs. •  Services not preauthorized by Health Plan.