16 CAR § 60-211
(a)
(1) In connection with claims for payment of mental health services, not covered by insurance, incurred by victims, the Crime Victims Reparations Board will pay a maximum of two thousand five hundred dollars ($2,500) or provide for six (6) months, whichever occurs first, provided the treatment plan is submitted within thirty (30) days of:
(2) This treatment plan must state:
(b)