Benefit Package. A. The following categories of services shall be provided by the contractor for all Medicaid and NJ FamilyCare Plans A, B, and C enrollees, except where indicated. See Section B.4.1 of the Appendices for complete definitions of the covered services. 1. Primary and Specialty Care by physicians and, within the scope of practice and in accordance with State certification/licensure requirements, standards and practices, by Certified Nurse Midwives, Certified Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants 2. Preventive Health Care and Counseling and Health Promotion 3. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program Services For NJ FamilyCare Plans B and C participants, coverage includes early and periodic screening and diagnosis medical examinations, dental, vision, hearing, and lead screening services. It includes only those treatment services identified through the examination that are available under the contractor's benefit package or specified services under the FFS program.
Appears in 3 contracts
Samples: Contract to Provide Services (Amerigroup Corp), Contract to Provide Services (Centene Corp), Agreement to Provide Hmo Services (Amerigroup Corp)
Benefit Package. A. The following categories of services shall be provided by the contractor Contractor for all Medicaid and NJ FamilyCare Plans A, B, C and C ABP enrollees, except where indicated. See Section B.4.1 of the Appendices for complete definitions of the covered services.
1. Primary and Specialty Care by physicians and, within the scope of practice and in accordance with State certification/licensure requirements, standards and practices, by Certified Nurse Midwives, Certified Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants
2. Preventive Health Care and Counseling and Health Promotion
3. Early and Periodic Screening, DiagnosisDiagnostic, and Treatment (EPSDT) Program Services For NJ FamilyCare Plans B and C participantsenrollees, coverage includes early and periodic screening and diagnosis diagnostic medical examinations, dental, vision, hearing, and lead screening services. It includes only those treatment services identified through the examination that are available under the contractor's Contractor’s benefit package or specified services under the FFS program.
Appears in 2 contracts
Samples: Contract to Provide Services, Contract to Provide Services
Benefit Package. A. The following categories of services shall be provided by the contractor for all Medicaid and NJ FamilyCare Plans A, B, and C enrollees, except where indicated. See Section B.4.1 of the Appendices for complete definitions of the covered services.,
1. Primary and Specialty Care by physicians and, within the scope of practice and in accordance with State certification/licensure requirements, standards and practices, by Certified Nurse Midwives, Certified Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants
2. Preventive Health Care and Counseling and Health Promotion
3. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program Services For NJ FamilyCare Plans B and C participants, coverage includes early and periodic screening and diagnosis medical examinations, dental, vision, hearing, and lead screening services. It includes only those treatment services identified through the examination that are available under the contractor's ’s benefit package or specified services under the FFS program.
Appears in 1 contract
Samples: Agreement to Provide Hmo Services (Amerigroup Corp)
Benefit Package. A. The following categories of services shall be provided by the contractor for all Medicaid and NJ FamilyCare Plans A, B, and C enrollees, except where indicated. See Section B.4.1 of the Appendices for complete definitions of the covered services.
1. Primary and Specialty Care by physicians and, within the scope of practice and in accordance with State certification/licensure requirements, standards and practices, by Certified Nurse Midwives, Certified Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants
2. Preventive Health Care and Counseling and Health Promotion
3. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program Services For NJ FamilyCare Plans B and C participants, coverage includes early and periodic screening and diagnosis medical examinations, dental, vision, hearing, and lead screening services. It includes only those treatment services identified through the examination that are available under the contractor's ’s benefit package or specified services under the FFS program.
4. Emergency Medical Care
Appears in 1 contract
Benefit Package. A. The following categories of services shall be provided by the contractor for all Medicaid and NJ FamilyCare Plans A, B, and C enrollees, except where indicated. See Section B.4.1 B. 4.1 of the Appendices for complete definitions of the covered services.
1. Primary and Specialty Care by physicians and, within the scope of practice and in accordance with State certification/licensure requirements, standards and practices, by Certified Nurse Midwives, Certified Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants
2. Preventive Health Care and Counseling and Health Promotion
3. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program Services For NJ FamilyCare Plans B and C participants, coverage includes early and periodic screening and diagnosis medical examinations, dental, vision, hearing, and lead screening services. It includes only those treatment services identified through the examination that are available under the contractor's benefit package or specified services under the FFS program.
Appears in 1 contract
Benefit Package. A. The following categories of services shall be provided by the contractor for all Medicaid and NJ FamilyCare Plans A, B, and C enrollees, except where indicated. , See Section B.4.1 of the Appendices for complete definitions of the covered services.
1. Primary and Specialty Care by physicians and, within the scope of practice and in accordance with State certification/licensure requirements, standards and practices, by Certified Nurse Midwives, Certified Nurse Practitioners, Clinical Nurse Specialists, and Physician Assistants
2. Preventive Health Care and Counseling and Health Promotion
3. Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Program Services For NJ FamilyCare Plans B and C participants, coverage includes early and periodic screening and diagnosis medical examinations, dental, vision, hearing, and lead screening services. It includes only those treatment services identified through the examination that are available under the contractor's benefit package or specified services under the FFS program.
Appears in 1 contract