medically necessary care

medically necessary care,

n the reasonable and appropriate diagnosis, treatment, and follow-up care (including supplies, appliances, and devices) as determined and prescribed by qualified appropriate health care providers in treating any condition, illness, disease, injury, or birth de-velopmental malformation. Care is medically necessary for the purpose of controlling or eliminating infection, pain, and disease and restoring facial configuration or function necessary for speech, swallowing, or chewing.