| (a) The OAG considers the following medical services
to be reasonable and necessary as a result of the personal injury
caused by the criminally injurious conduct:
(1) the one time only repair or replacement of medical
or dental devices in use by the victim prior to the criminally injurious
conduct, if the device is damaged, lost or rendered unusable as a
result of the criminally injurious conduct; and
(2) the one time only purchase, or the reasonable and
necessary rental, for medically prescribed assistive or adaptive items.
(b) The OAG does not consider the following medical
services to be reasonable and necessary as a result of the personal
injury due to the criminally injurious conduct:
(1) treatment for wellness or the prevention of disease;
(2) membership in a health club or gym facility;
(3) the rental or purchase of fitness, exercise, or
gym equipment; or
(4) any other items or services which are not regularly
used in the course of treating a medical condition in a health care
facility or setting.
(c) Unless the OAG has made a determination that good
cause exists, the OAG will not process bills and requests for reimbursements
for health care services that are received three years after the date
of service.
(d) For victims under the age of 18 at the time of
the criminally injurious conduct, bills and requests for reimbursements
for health care services may be submitted up to the victim's 22nd
birthday for consideration of payment.
(e) Physical therapy expenses will be reviewed as health
care services under this subchapter. Physical therapy includes the
testing and measurement of the function of the musculoskeletal, neurological,
pulmonary, and cardiovascular systems and rehabilitative treatment
concerned with the restoration of function and prevention of disability.
It also includes treatment, consultive, educational, and advisory
services for the purpose of reducing the incidence and severity of
disability and pain to enable, train, or retrain an individual to
perform the independent skills and activities of the victim's daily
living at the same level as immediately before the criminally injurious
conduct.
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