It is mentioned in the manual a lot about meeting standards determined by DMAS, but how do we know what these standards are? Where and how do we access them? Have they been determined? How do we review them? 

Sometimes goals are not medically necessary as they support building up social engagement and building community to help improve social and emotional well being, which is shown through studies to be perhaps one of the best ways to improve outcome, being able to have choice of interacting with others and participate in activities that can increase social relationships with others.