Medical Necessity

Medical necessity means providing services that fit your health needs. Learning about it can help you work with your provider to make choices about your mental health care. Medical necessity has a special meaning for treatment services, like:

  1. Psychosocial Rehabilitation (PRP)
  2. Supported Employment

These services help you get back functions that have been affected by a mental illness. At times a mental illness may make it hard for you to remember the steps to take care of yourself or to get a job. Rehabilitation services can help you learn and practice ways to overcome such negative effects of an illness. 

These services may help you gain skills, use resources, or obtain and use supports. They can help you to modify your surroundings and make it easier to be successful in meeting your goals - as long as you need that help because of a mental illness.

Medical necessity can help ensure that a service supports what you need. It can also help ensure that a service does not get in the way of your ability to live, work, learn and fully take part in community life.