Exceptions from Cost-Sharing Sample Clauses

Exceptions from Cost-Sharing. ‌ The following Enrollees or services are exempt from cost-sharing:  Enrollees expected to reside for thirty (30) days or more in an institution;  Enrollees receiving Hospice care;  American Indians as defined in section 2.12 who receive or have ever received a service(s) from an Indian Health Care Provider, or through IHS CHS referral from an IHS facility;‌‌  Emergency Services;  Family Planning;  Preventive services including:  Services with a rating of A or B from the United States Preventive Services Task Force, which includes tobacco use counseling and interventions (smoking cessation) services;  Immunizations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention; and  Preventive services and screenings provided to women as described in 45 CFR §147.130.  Services paid for by Medicare for which Medical Assistance pays the coinsurance and deductible;  Copayments that exceed one per day per Provider for non-preventive visits, and non- emergency visits to a hospital-based emergency department; and  Substance Use Disorder treatment services pursuant to Minnesota Statutes, §254B.03, subd. 2.

Exceptions from Cost-Sharing. ‌ The following Enrollees or services are exempt from cost-sharing: • Children under age 21; • Pregnant women; • Enrollees expected to reside for thirty (30) days or more in an institution; • Enrollees receiving Hospice Care; • American Indians as defined in section 2.11 who receive or have ever received a service(s) from an Indian Health Care Provider, or through IHS CHS referral from an IHS facility; • Emergency Services; • Family Planning; • Preventive services including: • Services with a rating of A or B from the United States Preventive Services Task Force, which includes tobacco use counseling and interventions (smoking cessation) services; • Immunizations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention; and • Preventive services and screenings provided to women as described in 45 CFR §147.130. • Services paid for by Medicare for which Medical Assistance pays the coinsurance and deductible; • Copayments that exceed one per day per Provider for non-preventive visits, and non- emergency visits to a hospital-based emergency department; and • Substance use disorder treatment services pursuant to Minnesota Statutes, §254B.03, subd. 2.

Exceptions from Cost-Sharing. ‌ The following Enrollees or services are exempt from cost-sharing: • Enrollees expected to reside for thirty (30) days or more in an institution; • Enrollees receiving Hospice care; • American Indians as defined in section 2.12 who receive or have ever received a service(s) from an Indian Health Care Provider, or through IHS CHS referral from an IHS facility; • Emergency Services; • Family Planning; • Preventive services including: • Services with a rating of A or B from the United States Preventive Services Task Force, which includes tobacco use counseling and interventions (smoking cessation) services; • Immunizations recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention; and • Preventive services and screenings provided to women as described in 45 CFR §147.130. • Services paid for by Medicare for which Medical Assistance pays the coinsurance and deductible; • Copayments that exceed one per day per Provider for non-preventive visits, and non- emergency visits to a hospital-based emergency department; and • Substance Use Disorder treatment services pursuant to Minnesota Statutes, §254B.03, subd. 2. • Items and services for vaccine counseling, testing, diagnosis and treatment of COVID-19; and effective March 11, 2021, the treatment of a condition that may seriously complicate the treatment of COVID–19, if otherwise covered under the state plan (or waiver of such plan, including a section 1115 demonstration) for Enrollees who are diagnosed with or presumed to have COVID-19 during the period such an Enrollee has (or is presumed to have) COVID-19. This coverage is required without cost-sharing through the last day of the first calendar quarter that begins one year after the last day of the federal public health emergency, until notice by the STATE.

Exceptions from Cost-Sharing. The following Enrollees or services are exempt from cost-sharing: (A) Children under age 21; (B) Pregnant women;