Common use of MEDICAID SERVICES COVERED AND NOT COVERED BY THE CONTRACTOR Clause in Contracts

MEDICAID SERVICES COVERED AND NOT COVERED BY THE CONTRACTOR. The Contractor must provide Covered Services under current administrative regulations. The scope of services may be expanded with approval of the Department and as necessary to comply with federal mandates and state laws. Certain Medicaid services are currently excluded from the Contractor benefits package, but continue to be covered through the traditional fee-for-service Medicaid Program. The Contractor will be expected to be familiar with these Contractor excluded services, designated Medicaid “wrap-around” services and to coordinate with the Department’s providers in the delivery of these services to Members. Information relating to these excluded services’ programs may be accessed by the Contractor from the Department to aid in the coordination of the services.

MEDICAID SERVICES COVERED AND NOT COVERED BY THE CONTRACTOR. The Contractor must provide Covered Services under current administrative regulations. The scope of services may be expanded with approval of the Department and as necessary to comply with federal mandates and state laws. Certain Medicaid services are currently excluded from the Contractor benefits 66 package, but continue to be covered through the traditional fee-for-service Medicaid Program. The Contractor will be expected to be familiar with these Contractor excluded services, designated Medicaid “wrap-around” services and to coordinate with the Department’s providers in the delivery of these services to Members. Information relating to these excluded services’ programs may be accessed by the Contractor from the Department to aid in the coordination of the services.