Similarities and Differences between ABI and BIW

• Missouri resident
• Age 21 - 65
• Have a medically documented traumatic brain injury (TBI)
• Meet financial eligibility guidelines for rehabilitation services (family income at or below 185% Federal Poverty Guidelines)

Service Coordination is provided to all ABI Program participants, regardless of financial status

• Missouri resident
• Age 21 - 65
• Have a medically documented traumatic brain injury (TBІ)
• Be enrolled in MO HealthNet (fee-for-service)
• Have a federally matched MO HealthNet Eligibility (ME) code
• Require medical care equivalent to the level of care received in a nursing home
• Not be enrolled in a state waiver

• Service coordination includes:
  • Evaluation and assessment of needs
  • Development, implementation, and continuous evaluation of an individualized service plan
  • Assistance in locating and accessing resources including, but not limited to medical care, housing, counseling, transportation, rehabilitation, vocational training, and cognitive/behavioral training
  • Information, education, and advocacy
  • Planning for transition
  • Authorization of rehabilitation services

• Service Coordination includes:
  • Evaluation and assessment of needs
  • Identification and access to approved rehabilitation service providers
  • Development and implementation of a person-centered plan of care
  • Identification of rehabilitation of resources and referral
  • Assistance in establishment of a medical home
  • Planning for transition
  • Authorization of medically necessary rehabilitation services

• Neuropsychological Evaluation and Consultation
• Adjustment Counseling
• Transitional Home and Community Support Training
• Prevocational/Preemployment Training
• Supported Employment/Follow Along
• Special Instruction

• Neuropsychological Evaluation and Consultation
• Applied Behavioral Analysis (ABA)
• Personal Care (after State Plan services are exhausted)
• Assistive Technology
• Environmental Modifications and Access
• Cognitive Rehabilitation Therapy
• Occupational Therapy
• Physical Therapy
• Speech Therapy

• Not a state waiver
• Two rehab services can be authorized at one time
• Medicaid not required
• Can be enrolled in one state waiver
• Meet financial eligibility for rehabilitation services

• A state waiver
• All rehab services can be authorized at a time
• Medicaid Fee-For-Service required
• Cannot be enrolled in any other state waiver
• No financial eligibility for rehabilitation services