Adult Brain Injury Program Provider Manual

Ineligible Services

Ineligible services include, but are not limited to:

Educational services as listed on an Individualized Education Plan;
Vocational rehabilitation services covered by the Division of Vocational Rehabilitation (DVR), Rehabilitation Services for the Blind, or any other government agency;
Acute hospital care/surgery;
Outpatient medical care, such as physician’s office visits, and therapies;
Equipment, medical supplies, medication;
Nursing home care;
Recreation and respite services;
Services covered by MO HealthNet, private insurance, or other resources, public or private;
Substance abuse programs; and
Services offered through a Provider not active in SHCN or by a current Provider who is not approved to offer that service, a current SHCN Provider who has not received prior authorization or who has not followed guidelines in the manual.