460 IAC 14.1-15-5
460 IAC 14.1-15-5 Conditions requiring continuing treatment
Cite as Ind. Admin. Code tit. 460, r. 14.1-15-5
Sec. 5. (a) A participant may receive assistance with physical and mental restoration services consisting of multiple treatments or sessions if:
(1) continuation of the services is reasonably expected to correct, or change substantially, a stable or slowly progressive physical or mental impairment constituting a substantial impediment to employment;
(2) the number of treatments and anticipated period over which the treatments required, based on medical documentation from a licensed medical or mental health care provider, does not exceed six (6) months unless an exception is granted under 460 IAC 14.1-8-1; and
(3) the treatment is prescribed or recommended by a licensed medical or mental health care provider.
(b) Services consisting of multiple treatments or sessions may be terminated if medical documentation from a licensed medical or mental health care provider indicates:
(1) continuation of the services will not produce measurable progress toward meeting the purpose for which they are being provided; or
(2) the need for continued services is an ongoing medical or mental health management need.