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.