Adult Brain Injury Program Provider Manual

Participant Eligibility

Participants eligible for payment of rehabilitative services under the ABI Program shall meet the following criteria:

Have written verification or history of a "brain injury" or "traumatic brain injury" as defined under RSMo Section 192.735 - a sudden insult or damage to the brain or its coverings, not of a degenerative nature. Such insult or damage may produce an altered state of consciousness and may result in a decrease of one (1) or more of the following: mental, cognitive, behavioral, or physical functioning resulting in partial or total disability. Cerebral vascular accidents, aneurysms, and congenital deficits are specifically excluded from this definition;
Be residents of the State of Missouri;
Are between ages 21 and 65;
Apply for MO HealthNet or other state agency services, if eligible;
Have a signed Application for Enrollment form (CC-1) on file;
Have documentation that current taxable income does not exceed 185% of the federal poverty guidelines. This documentation shall be provided initially at the time of enrollment, and thereafter must be provided annually to maintain eligibility for rehabilitative services; and
Meet State Department of Elementary and Secondary Education and Federal eligibility for supported employment, if receiving long-term extended supported work services.