Outpatient Medical Rehabilitation Services. Medically necessary and medically appropriate outpatient rehabilitation services provided by a licensed or certified practitioner. Such services include: physical therapy, occupational therapy, speech therapy, audiology, inhalation therapy, social services, psychological services, traumatic brain injury (T.B.I.) day treatment, neuropsychological evaluation, electonystagmography, and early childhood intervention services.
a. Limitations include:
i. Sheltered workshop services for individuals who are primarily developmentally disabled are covered only if their need for this type of program stems from an etiology readily identifiable as medical or psychological in origin;
ii. T.
Outpatient Medical Rehabilitation Services. Medically necessary and medically appropriate outpatient rehabilitation services provided by a licensed or certified practitioner. Such services include: physical therapy, occupational therapy, speech therapy, audiology, inhalation therapy, social services, psychological services, traumatic brain injury (T.B.I.) day treatment, neuropsychological evaluation, electonystagmography, and early childhood intervention services. August 13, 2003 Note: Effective 1/1/03, services provided by independently enrolled physical therapists, audiologists and speech pathologists are no longer covered for individuals who are 21 years of age or older. Services provided by independently enrolled psychologists will no longer be covered for individuals who are 21 years of age or older effective 9/1/03.
Outpatient Medical Rehabilitation Services. Medically necessary and medically appropriate outpatient rehabilitation services provided by a licensed or certified practitioner. Such services include: physical therapy, occupational therapy, speech therapy, audiology, inhalation therapy, social services, psychological services, traumatic brain injury (T.B.I.) day treatment, neuropsychological evaluation, electronystagmography, and early childhood intervention services.
a. Limitations include:
i. Sheltered workshop services for individuals who are primarily developmentally disabled are covered only if their need for this type of program stems from an etiology readily identifiable as medical or psychological in origin;
ii. T.B.I, treatment programs are limited to individuals who have sustained injury from interaction of any external forces resulting in 05/07 the central nervous system (brain) dysfunctions. Developmental impairment primarily contributing to brain dysfunction is not included. The impairment must be readily identifiable as having been sustained through injury;
iii. The T.
