CORE BENEFITS AND SERVICES. The CONTRACTOR shall cover the physical health and Behavioral Health Services outlined within this Section of this contract.
CORE BENEFITS AND SERVICES. The CONTRACTOR shall cover the physical health and Behavioral Health Services outlined within this Section of this contract. Managed Care Coverage Service Category Carved in Carved Out Comment Ambulance ✓ Ancillary Medical Services ✓ Audiological Services ✓ Autism Spectrum Disorder (ASD) Services ✓ Behavioral Health and Outpatient Services ✓ Chiropractic Care ✓ Community Long Term Care Waiver Services ✓ Communicable Disease Services ✓ Dental Services ✓ Developmental Evaluation Centers ✓ 2/1/2024 Carve In Durable Medical Equipment ✓ Early Intervention Services ✓ EPSDT ✓ Emergency and Post Stabilization Services ✓ Family Planning ✓ Home Health Services ✓ Hysterectomies ✓ Independent Laboratory and X-Ray Services ✓ Inpatient Hospital Services ✓ Institutional Long-Term Care Facilities/Nursing Facilities 90 Days appx Maternity Services ✓ Outpatient Services ✓ Pharmacy ✓ Physician Services ✓ Rehabilitative Therapies for Children ✓ Sterilization ✓ Substance Abuse ✓ Targeted Case Management Referral Assistance Transplant and Transplant Related Services ✓ Fully Carved In 2/1/2024 Vaccine Services ✓ Vision Care Exams ✓
CORE BENEFITS AND SERVICES. The CONTRACTOR shall cover the physical health and Behavioral Health Services outlined within this Section of this contract. Managed Care Coverage Service Category Carved in Carved Out Comment Ambulance ✓ Ancillary Medical Services ✓ Audiological Services ✓ Behavioral Health and Outpatient Services ✓ Chiropractic Care ✓ Community Long Term Care Waiver Services ✓ Comunicable Disease Services ✓ Dental Services ✓ Developmental Evaluation Centers ✓ Durable Medical Equipment ✓ EPSDT ✓ Emergency and Post Stabilization Services ✓ Family Planning ✓ Home Health Services ✓ Hysterectomies ✓ Independent Laboratory and X-Ray Services ✓ Inpatient Hospital Services ✓ Institutional Long-Term Care Facilities/Nursing Facilities 90 Days appx Maternity Services ✓ Outpatient Services ✓ Pharmacy ✓ Physician Services ✓ Rehabilitative Therapies for Children ✓ Sterilization ✓ Substance Abuse ✓ Targeted Case Management Referral Assistance Transplant and Transplant Related Services Limited – See P&P Vaccine Services ✓ Vision Care Exams ✓
CORE BENEFITS AND SERVICES. Core benefits and services, as defined in Appendix B, shall be available through the CCN to each Medicaid member within the Coordinated Care Network - Prepaid. The CCN shall provide a mechanism to reduce inappropriate and duplicative use of health care services. Services shall be furnished in an amount, duration, and scope that is no less than the amount, duration, and scope for the same services furnished to eligibles under Medicaid fee-for-service as specified in 42 CFR §438.210(a)(1) and (2) and must meet the requirements set forth in this Provider Agreement and CCN-P Policy and Procedure Guide. The CCN:
