Common use of Medicaid Non-capitated Services Clause in Contracts

Medicaid Non-capitated Services. The following Texas Medicaid programs, services, or benefits have been excluded from MCO Covered Services. Medicaid Members are eligible to receive these Non-capitated Services on a Fee-for-Service basis, or through a Dental MCO (for most dental services). MCOs should refer to relevant chapters in the Provider Procedures Manual and the Texas Medicaid Bulletins for more information. 1. Texas Health Steps dental (including orthodontia); 2. Texas Health Steps environmental lead investigation (XXX); 3. Early Childhood Intervention (ECI) case management/service coordination; 4. DSHS Targeted Case Management - coordinated by LMHAs 5. DSHS mental health rehabilitation; 6. Case Management for Children and Pregnant Women; 7. Texas School Health and Related Services (SHARS); 8. Department of Assistive and Rehabilitative Services Blind Children's Vocational Discovery and Development Program; 9. tuberculosis services provided by DSHS-approved providers (directly observed therapy and contact investigation);

Medicaid Non-capitated Services. The following Texas Medicaid programs, services, or benefits have been excluded from MCO Covered Services. Medicaid Members are eligible to receive these Non-capitated Services on a Fee-for-Service basis, or through a Dental MCO (for most dental services). MCOs should refer to relevant chapters in the Provider Procedures Manual and the Texas Medicaid Bulletins for more information. 1. Texas Health Steps dental (including orthodontia); 2. Texas Health Steps environmental lead investigation (XXX); 3. Early Childhood Intervention (ECI) case management/service coordination; 4. DSHS Targeted Case Management - – coordinated by LMHAs 5. DSHS mental health rehabilitation; 6. Case Management for Children and Pregnant WomenWomen (CPW); 7. Texas School Health and Related Services (SHARS); 8. Department of Assistive and Rehabilitative Services Blind Children's ’s Vocational Discovery and Development Program; 9. tuberculosis services provided by DSHS-approved providers (directly observed therapy and contact investigation);