C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-102, subsec. 144-101-II-102.01
The purpose of this rule is to cover rehabilitative services for eligible members who have sustained a brain injury. This section does not include coverage for services for people with brain injuries that are congenital or induced by birth. Rehabilitative services are specialized, interdisciplinary, coordinated, and outcomes focused. The services are designed to address the unique medical, physical, cognitive, psychosocial, and behavioral needs of members with acquired brain injuries. Limitations apply; services are appropriate if there is the potential for rehabilitation and the expectation of functionally significant improvements in the member's status, or in certain cases where services are necessary because their withdrawal would result in the member's measurable decline in functional status.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-102, subsec. 144-101-II-102.01