Application for Brain Injury Fund Assistance

Background

Since July 2013, the General Assembly has allocated funding to the State Council for Persons with Disabilities (SCPD) to administer a Traumatic Brain Injury Fund. Eligibility for funding assistance is limited to legal Delaware residents with a qualifying, medically documented traumatic brain injury who would benefit from covered services which are otherwise not available to residents through the Department of Health & Social Services (DHSS) or any other state agency.

Covered Services

Covered services may include, but are not limited to, the following services, treatment, therapy, and equipment directly related to a traumatic brain injury:

  • home or environmental modifications (E.g. accessible ramp, accessible bathroom modifications, change of room setup, modification of materials or equipment, or specialized equipment); 
  • driver rehabilitation assessment and training program;
  • service dog acquisition and support (custom-trained to assist individuals with disabilities directly related to a traumatic brain injury);
  • assistive technology (E.g. Medically necessary walker, scooter, or wheelchair;
  • short-term/temporary attendant services not covered under other funding sources,
  • medically necessary eyeglasses for individuals with a traumatic brain injury;
  • limited sessions of alternative therapy;
  • medically approved summer day camps approved by SCPD (E.g. Easterseals Camp Fairlee); and
  • such other services including, but not limited to, medically necessary tutoring, durable medical equipment and short-term temporary services not covered by the Department of Health and Social Services, Division of Services for Aging and Adults with Physical Disabilities, Department of Education, Division of Vocational Rehabilitation, or any other state department or agency.

Services NOT Covered

The Traumatic Brain Injury Fund is a limited fund, payer of last resort that does not cover cost-prohibitive request. Items not covered include, but are not limited to:

  • services, treatment, therapy, and equipment not directly related to a traumatic brain injury:;
  • accessible vehicles or major vehicle modifications;
  • long-term care,
  • ongoing case management;
  • dental services;
  • payment of utility bills;
  • ongoing medical bills;
  • prescription costs;
  • home and environmental modifications that are not specific to accessibility needs for an individual with a traumatic brain injury;
  • Gyro Stim Therapy;
  • Ongoing alternative therapy treatment; or
  • Services, treatment, therapy, and equipment provided through the Department of Health & Social Services, Department of Education, Division of Vocational Rehabilitation, or any other state agencies since the Brain Injury Fund is a limited special fund "Payer of Last Resort."

Eligibility

In order for the State Council for Persons with Disabilities, Traumatic Brain Injury Fund Application Review Committee to determine eligibility, applicants or their designated representative must fully complete the application below attaching the required supporting documentation listed below within 60 days of application submission. Documentation of a brain injury may include a letter from the applicant's treating physician verifying treatment for a traumatic brain injury that includes the date of injury, recent physician's treatment notes for a traumatic brain injury, neurological examinations noting a traumatic brain injury, neuropsychological evaluation noting a traumatic brain injury and/or neuroimaging records showing a traumatic brain injury.
The State Council for Persons with Disabilities (SCPD) currently has funding for the Brain Injury Fund and encourages people who may benefit to apply.

Required Supporting Documentation
  1. A letter or current treatment notes from the applicant's primary care physician (PCP) or other medical provider (MD or DO) treating the applicant for their traumatic brain injury stating that the applicant has a traumatic brain injury and the date that the traumatic brain injury occurred.
  2. A letter from the applicant's current medical provider (MD or DO) recommending the specific services, treatment, or equipment the applicant is requesting as being medically necessary or beneficial to the applicant dated within 60 days of the date of the application.
  3. Copies of denial of coverage letters from the applicant's existing medical insurance provider(s) stating the reason they refused to cover the requested service(s).
  4. A list of specific services, treatments, therapies, or equipment the applicant is requesting funding approval for prioritized from the most important or medically necessary to items needed or requested that are beneficial but not medically necessary that includes the estimated cost for each service, treatment, therapy, or equipment requested.
  5. A letter stating what the applicant hopes to gain if their application is approved for funding that includes a statement as to how it will benefit the applicant in their daily life.
  6. A completed and signed medical release form (available below).

Submission

Please fully complete an online application below or download a copy to your computer to complete and submit by email to SCPDBrainInjuryFund@state.de.us, by U. S. mail to SCPD Brain Injury Fund, Margaret M. O'Neill Bldg., Suite 1, 410 Federal Street, Dover, DE 19901; or by fax to 302-677-7066

Contact

Contact SCPD by phone at 302-739-3621 or (302) 739-3620 to speak with Director John McNeal or by email to SCPDBrainInjuryFund@state.de.us or contact the Director at John.McNeal@state.de.us for additional information. 


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