There is NO "Lasting Benefit Standard". Your treatment is medically necessary as long as it enables you to continue to function at a certain level!!
DHO and SHO Hearing Officers required Relator to show a "lasting benefit" in respect to treatment Relator sought.
There is no "lasting benefit" STANDARD.
As long as Tx enables you to function at a certain level...it is "medically necessary".
Is your treatment Medically Necessary? Click on the page and find out.
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