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6. Habilitation, which may include: a. independent living evaluation; b. habilitation aid; c. physical therapy - maintenance; d. occupational therapy - maintenance; e. speech therapy - maintenance; f. psychological consultation, g. other services as defined by Case Management. 7. Medical alert; 8. Nutritional/Dietitian; 9. Non-medical transportation; 10. Environmental modification/Adaptive equipment; 11. Respiratory therapy; 12. Nursing services; 13. Supported Living services; 14. Pre-vocational services; 15. Supported employment services; 16. Specially trained attendant services; 17. Cognitive rehabilitation services; 18. Behavioral programming services; 19. Chemical dependency counseling; 20. Comprehensive day treatment; 21. Community residential rehabilitation services; 22. Special child care for children with AIDS; 23. Adult residential care; 24. Specialized medical equipment and supplies; and 25. Consumer/family intensive support service. A billing statement is required before monthly waiver service expenses can be used to reduce/meet the spend down. SPECIAL PROCESSING FOR MEDICALLY NEEDY GROUP HOME RESIDENTS: The difference between the residential service rate at the group home and the MNIL is recognized as a medical expense used to meet the spend down for medically needy group home residents whose income exceeds the SSI State Supplement income standard, making them ineligible for SSI State Supplement payments. The medical expense is determined by subtracting the MNIL from the total residential service fee (group home rate). Effective Date: July 01, 2016