Rehabilitative Behavioral Health Services 

Rehabilitative Behavioral Health Services are available to all Medicaid beneficiaries with a behavioral health disorder, as defined by the current edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) or the International Classification of Diseases (ICD) who meet medical necessity criteria.  Rehabilitative services are provided to or directed exclusively, toward the treatment of the Medicaid-eligible beneficiary for the purpose of ameliorating disabilities, improving the beneficiary’s ability to function independently, and restoring maximum functioning through the use of diagnostic and restorative services.

Rationale: Without the provision of services the emotional/behavioral needs of the child may be in jeopardy of placement disruption and/or placement to a more intensive setting or service.