84. Subject to the particular eligibility requirements set by the Minister or an agreement to otherwise fill the need for which a special benefit is required, in accordance with section 58 of the Act, a special benefit is granted if(1) the necessity of the need is recognized by the Minister;
(2) prior authorization to fill the need is given by the Minister, except in an emergency or in the case of the special benefit for transportation and living expenses to receive care or the special benefit for living expenses in a centre, operated by a community or private organization, that offers addiction services with accommodations; and
(3) the costs or fees correspond to the actual cost of the goods acquired or the services provided up to the cost normally required to fill the need without exceeding the amount set for the benefit.
In the absence of prior authorization, the payment application must be filed not later than 30 days after the goods or services have been supplied or as soon as possible if it was impossible for the applicant to act within that period. If the service provided is transportation by ambulance or if the application is for funeral expenses, the period is extended to 90 days.
O.C. 1073-2006, s. 84; O.C. 1043-2009, s. 1; O.C. 159-2013, s. 3.