In Compton v Rinehart’s Meat Processing, Inj. No. 90-151739 (LIRC) 2003, forwarding to a specialized clinic outside the State of Missouri can be allowed if it is determined that until claimant is provided this additional treatment his permanent condition cannot be determined. A fact matter in each case.
In Mickey v City Wide Maintenance, 966 S.W.2d 144 (Mo.App. W.D. 1999), Medical Aid” includes modifications to a motor vehicle of a paraplegic employee because it potentially decreases the risk of re-injury to the employee and the cost of future medical aid to the employer. This benefit includes the cost of the necessary modifications, but not the cost to purchase, maintain, operate, repair or insure the vehicle.