Medically necessary covered services:   Covered services provided by qualified service providers within the scope of their practice to prevent disease, disability, and other adverse health conditions or their progression or to prolong life. Medically necessary services are aimed at achieving the following:

• The prevention, diagnosis, and treatment of behavioral health impairments;

• The ability to achieve age-appropriate growth and development; and

• The ability to attain, maintain, or regain functional capacity.