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(2)__Treatment after a surgical procedure performed for | | the purpose of improving physical function; or |
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| | | (3)__Treatment in those situations in which a physician | | has documented that the patient has in the preceding 30 | | days required extensive assistance in the performance | | of one or more of the following activities of daily | | living: eating, toileting, locomotion, transfer or bed | | mobility. |
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| | | The department may limit occupational and physical therapy | | services benefits under this paragraph for palliative care | | and maintenance of function to one visit per year to design | | a plan of care and train the member or caretaker of the | | member to implement the plan or to reassess the plan of | | care. |
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| | | F.__A member is eligible for benefits for chiropractic | | services provided by a chiropractor licensed under Title 32.__ | | Benefits under this paragraph may be limited by the | | department by requiring a member to have that member's | | rehabilitation potential documented by a physician.__ | | Benefits may be limited to treatment as follows: |
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| | | (1) Treatment for acute neuromuscular skeletal | | conditions affecting range of motion, muscle strength | | and physical functional abilities; or |
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| | | (2) Treatment after a surgical procedure performed for | | the purpose of improving physical function. |
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| | | G.__A member is eligible for benefits under the private duty | | nursing and personal care program and waiver programs for | | the physically disabled or elderly as long as those benefits | | may be limited by reductions in units of service or by rate | | reductions. |
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| | | H.__A member who is eligible for benefits under section | | 3174-G, subsection 1, paragraph F is eligible for benefits | | under this section subject to the provisions of paragraphs A | | to G and to additional rules limiting benefits as specified | | in this paragraph. |
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| | | (1)__Benefits for inpatient hospital admissions are | | limited to 2 per year, except that more admissions may | | be approved through prior authorization by the | | department.__This subparagraph does not limit inpatient | | hospital benefits for laboratory services, x-ray | | services, prenatal care and mental health diagnoses. |
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