When documentation from the consumer's treatment providers is not conclusive, and you cannot determine eligibility, begin assessments necessary to help determine eligibility.

When there is insufficient documentation to determine eligibility, assessments must include:

  • an appraisal of the consumer's general medical condition;
  • documentation of a traumatic brain injury (TBI) and/or traumatic spinal cord injury;
  • a determination of whether the consumer is medically stable enough to actively participate in planned services; and
  • a recent appraisal of psychological and other factors that relate to the consumer's ability to participate in planned services, such as a psychological evaluation or neuropsychological evaluation, and a neuropsychological evaluation for individuals with TBIs.

You may spend funds for assessments without removing the consumer from the Interest and Waiting Lists.