WAC Durable medical equipment and mobility enhancing equipment used to serve a medical purpose, including sales tax. Rehabilitative Optional WAC Plan may, but is not required to, include the following services as part of and Rehabilitative the EHB-benchmark package. If plan includes these benefits, they cannot Habilitative and be included in establishing AV for this category: Services (EHB) Habilitative WAC shoe inserts and orthopedic shoes; (Cont’d) Services 5642(7)(c)(i) (7)(c)(ii) Exercise equipment for medically necessary conditions; WAC Durable medical equipment that serves solely as a comfort or convenience item; and (7)(c)(iv) Hearing aids than cochlear implants. Habilitative WAC For purposes of determining a plan's AV, issuer must classify as habilitative Services services the of medically necessary health care services and devices Definition designed to assist a person to keep, learn or improve skills and functioning for daily living. Examples include services for a child who isn't walking or talking at the expected age, or services to assist with keeping or learning skills and functioning within an individual's environment, or to compensate for a person's progressive physical, cognitive, and emotional illness. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient or outpatient settings. Requirement WAC As a minimum level of coverage, limitations on habilitative services must be for parity on parity with those for rehabilitative services. Plan may include such between limitations only if the limitations take into account the unique needs of the Habilitative individual, and target measurable and specific treatment goals appropriate and for the person's age and physical and mental condition. Rehabilitative WAC However, when habilitative services are delivered to treat a mental services health diagnosis categorized in the most recent version of the DSM, the
Rehabilitative and Habilitative Services (EHB) (Cont’d) WAC Durable medical equipment and mobility enhancing equipment used to serve a medical purpose, including sales tax. Optional Rehabilitative and Habilitative Services WAC WAC 5642(7)(c)(i) Plan may, but is not required to, include the following services as part of the EHB-benchmark package. If plan includes these benefits, they cannot be included in establishing AV for this category: shoe inserts and orthopedic shoes; (7)(c)(ii) Exercise equipment for medically necessary conditions; WAC Durable medical equipment that serves solely as a comfort or convenience item; and (7)(c)(iv) Hearing aids than cochlear implants. Habilitative Services Definition WAC For purposes of determining a plan's AV, issuer must classify as habilitative services the of medically necessary health care services and devices designed to assist a person to keep, learn or improve skills and functioning for daily living. Examples include services for a child who isn't walking or talking at the expected age, or services to assist with keeping or learning skills and functioning within an individual's environment, or to compensate for a person's progressive physical, cognitive, and emotional illness. These services may include physical and occupational therapy, speech-language pathology and other services for people with disabilities in a variety of inpatient or outpatient settings. Requirement for parity between Habilitative and Rehabilitative services WAC As a minimum level of coverage, limitations on habilitative services must be on parity with those for rehabilitative services. Plan may include such limitations only if the limitations take into account the unique needs of the individual, and target measurable and specific treatment goals appropriate for the person's age and physical and mental condition. WAC However, when habilitative services are delivered to treat a mental health diagnosis categorized in the most recent version of the DSM, the
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