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Are “maintenance” services eligible for coverage under insurance, special education, or other payment/reimbursement systems?

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Are “maintenance” services eligible for coverage under insurance, special education, or other payment/reimbursement systems?

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“Maintenance” carries a negative connotation as a relatively passive approach designed to sustain the status quo. In fact, in many instances, ongoing services are essential to ensure than an individual’s abilities do not regress or to prevent the development of problematic or dangerous secondary conditions. Funders are more likely to approve services if they are described as being needed for the “prevention of regression” than if they are described merely as “maintenance” services.

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