Rehabilitative Services. a. Rehabilitative services are those services that assist recipients in functioning within the limits of a disability or disabilities resulting from a mental illness. Services focus on restoration of a previous level of functioning or improving the level of functioning. Services must be individualized and directly related to goals for improving functioning within a major life domain. b. The coverage must include social rehabilitation and counseling, and basic living skills training. Social rehabilitation and counseling includes the redevelopment of communication or socialization skills. These services are directed toward improving the recipient’s level of functioning. Rehabilitative services also include training that will promote redevelopment or restoration of skills needed to live independently in the community.
Appears in 2 contracts
Sources: Medicaid Hmo Contract (Wellcare Health Plans, Inc.), Medicaid Hmo Contract (Wellcare Health Plans, Inc.)