Section 13. Covered Services

Medicaid covers those case management services for traumatic brain- injured adults which are medically necessary to help these recipients gain access to needed medical, social, educational and other services. Medicaid covers the following specific case management services: A. identification of programs which are appropriate for a recipient’s needs and provision of assistance to the recipient in accessing those programs; B. assessment of the service needs of recipients to coordinate the delivery of services if multiple providers or programs are involved in the provision of care; and C. reassessment to ensure that the services obtained are medical necessary and appropriate to meet the recipient’s needs.