Outpatient Health Services. Eligible costs are for the direct outpatient treatment of medical conditions and are provided by licensed medical professionals. Emergency Solutions Grant (ESG) funds may be used only for these services to the extent that other appropriate health services are unavailable within the community. Eligible treatment consists of assessing a program participant’s health problems and developing a treatment plan; assisting program participants to understand their health needs; providing directly or assisting program participants to obtain appropriate medical treatment, preventive medical care, and health maintenance services, including emergency medical services; providing medication and follow-up services; and providing preventive and non-cosmetic dental care.
Outpatient Health Services. General medical and specialist care, including consultation, routine care, and periodic physical examinations (included but not limited to Anesthesiology, Cardiology, Dermatology, Gastroenterology, Gynecology, Internal Medicine, Nephrology, Neurology, Neurosurgery, Oncology, Ophthalmology, Oral surgery, Orthopedic surgery, Otorhinolaryngology, Plastic surgery, Pulmonary disease, Psychiatry, Radiology, Rheumatology, General Surgery, Thoracic and Vascular Surgery, Urology) Nursing care Medical social service (social work) Physical, Occupational, Speech, and Respiratory therapies Nutrition counseling, education, and support, including tube feedings, total parenteral nutrition, or peripheral parenteral nutrition Laboratory tests, x-rays and other diagnostic procedures Prescription and over the counter drugs as ordered by a network physician and obtained through a network pharmacy – Note: if you have Medicare Part D plan, PACE CNY now becomes your Prescription Drug Plan. And, after enrolling in PACE CNY, if you choose to enroll in another Part D Plan, you will be automatically disenrolled from PACE CNY. Pharmacy consulting services Prostheses, orthotics, and durable medical equipment (per Medicare and Medicaid guidelines) and repairs and maintenance Podiatry, including routine foot care Vision care, including periodic examinations, treatment and corrective vision devices such as eyeglasses and lenses, and repairs and maintenance Mental health services Substance use disorder services Audiology, including evaluation, hearing aids, repairs and maintenance Recreational Therapy Dentistry, including dentures and repair and maintenance
Outpatient Health Services. General medical and specialist care, including consultation, routine care, and periodic physical examinations (included but not limited to Anesthesiology, Cardiology, Dermatology, Gastroenterology, Gynecology, Internal Medicine, Nephrology, Neurology, Neurosurgery, Oncology, Ophthalmology, Oral surgery, Orthopedic surgery, Otorhinolaryngology, Plastic surgery, Pulmonary disease, Psychiatry, Radiology, Rheumatology, General Surgery, Thoracic and Vascular Surgery, Urology) Nursing care Medical social service (social work) Physical, Occupational, Speech, and Respiratory therapies Nutrition counseling, education, and support, including tube feedings, total parenteral nutrition, or peripheral parenteral nutrition Laboratory tests, x-rays and other diagnostic procedures Prescription and over the counter drugs as ordered by a network physician and obtained through a network pharmacy – Note: if you have Medicare Part D plan, PACE CNY now becomes your Prescription Drug Plan. And, after enrolling in PACE CNY, if you choose to enroll in another Part D Plan, you will be automatically disenrolled from PACE CNY. Pharmacy consulting services Prostheses, orthotics, and durable medical equipment (per Medicare and Medicaid guidelines) and repairs and maintenance Podiatry, including routine foot care Vision care, including periodic examinations, treatment and corrective vision devices such as eyeglasses and lenses, and repairs and maintenance Mental health services Substance abuse services Audiology, including evaluation, hearing aids, repairs and maintenance Recreational Therapy Dentistry, including dentures and repair and maintenance
Outpatient Health Services. Physician Specialists services including, but not limited to, services such as gastroenterology, oncology, urology, rheumatology and dermatology • Nursing care • Home Health Care • Laboratory tests, X-rays and other diagnostic services • Physical therapy, speech therapy and occupational therapy • Prosthetics and Orthotics • Personal Care Attendant services • Prescription drugs (only if obtained from a pharmacy designated by EB ESP except when provided for emergency services or authorized post emergency or urgent care services) • Durable medical equipment • Podiatry • Vision care, including examinations, treatment and corrective devices such as eyeglasses • Psychiatry, including evaluation, consultation, diagnostic and treatment service • Audiology evaluation, hearing aids, repairs and maintenance • Non-emergency ambulance transportation, if medically necessary
Outpatient Health Services. Eligible costs are for the direct outpatient treatment of medical conditions and are provided by licensed medical pro- fessionals. Emergency Solutions Grant (ESG) funds may be used only for these services to the extent that other appro- priate health services are unavailable within the community. Eligible treat- ment consists of assessing a program participant’s health problems and de- veloping a treatment plan; assisting program participants to understand their health needs; providing directly or assisting program participants to obtain appropriate medical treatment, preventive medical care, and health maintenance services, including emer- gency medical services; providing medication and follow-up services; and providing preventive and noncosmetic dental care.
