Tobacco Cessation Benefits. Interpreter Services Reimbursement for Interpreter Services for Medicaid fee for service recipients is available for services provided during a one on one, face to face medically necessary office visit. Provider types eligible to seek reimbursement include physicians, podiatrists, optometrists, nurse practitioners, outpatient hospital clinics, and behavioral health providers. Provider Manual: Interpreter Services Transplant Services N/A N/A HIV/AIDS Non-Medical Targeted Case Management for People Living with HIV/AIDS and those at High Risk for Acquiring HIV N/A Provider Manual: HIV/AIDS Providers AIDS Medical Case Management Includes client-specific advocacy and/or review of utilization of services. This includes all types of case management including face-to- face, phone contact, and any other form of communication Provider Manual: AIDS / HIV Case Management Rehabilitation Services N/A Provider Manual: Service Benefit Detail Reference Coverage Document Rehabilitation Services Community Health Worker Services CHW services will be available to Medicaid eligible individuals who have one or more chronic health (including behavior health) conditions, who are at risk for a chronic health condition, and who face barriers meeting their health or health-related social needs. Community Health Workers Services Doula Services Services are covered during the prenatal period, during delivery, and up to twelve (12) months postpartum. Provider Manual: Doula Services Home Care Services Includes laboratory services and private duty nursing for a patient whose medical condition requires more skilled nursing than intermittent visiting nursing care. Home care services include personal care services, such as assisting the client with personal hygiene, dressing, feeding, transfer, and ambulatory needs. Home care services also include homemaking services that are incidental to the client’s health needs such as making the client’s bed, cleaning the client’s living areas such as bedroom and bathroom, and doing the client’s laundry and shopping. Home care services do not include respite care, relief care or day care Provider Manual: Home Care Treatment for Gender Dysphoria Gender Nonconformity - extent to which a person's gender identity, role or expression differs from cultural norms prescribed for people of a particular sex and Gender Dysphoria - discomfort or distress that is caused by a discrepancy between the person's identity and that person's sex at birth Covered services for members aged 18 and older: 1. Behavioral Health 2. Hormonal therapy 3. Laboratory testing required to monitor hormonal therapy 4. Surgical procedures included in list below. Non-reversible hormonal therapy. REQUIRES PRIOR AUTHORIZATION. Provider Manual: Gender Dysphoria PDF Version of Coverage Guidelines Adult Day Health Day programs for frail seniors and other adults who need supervision and health services during the daytime. Adult Day Health programs offer nursing care, therapies, personal care assistance, social and recreational activities, meals, and other services in a community group setting. Adult Day Health programs are for adults who return to their homes and caregivers at the end of the day. Provider Manual: Adult Day Health Nutrition Services Covered as delivered by a registered or licensed dietitian Behavioral Health (Outpatient& Inpatient) Covered services include a full continuum of Mental Health and Substance Use Disorder treatment, including but not limited to, community- based narcotic treatment, methadone, and community detox. Provider Manual: BH Services Service Benefit Detail Reference Coverage Document
Appears in 4 contracts
Tobacco Cessation Benefits. Interpreter Services Reimbursement for Interpreter Services for Medicaid fee for service recipients is available for services provided during a one on one, face to face medically necessary office visit. Provider types eligible to seek reimbursement include physicians, podiatrists, optometrists, nurse practitioners, outpatient hospital clinics, and behavioral health providers. Provider Manual: Interpreter Services Transplant Services N/A N/A HIV/AIDS Non-Medical Targeted Case Management for People Living with HIV/AIDS and those at High Risk for Acquiring HIV N/A Provider Manual: HIV/AIDS Providers AIDS Medical Case Management Includes client-specific advocacy and/or review of utilization of services. This includes all types of case management including face-to- face, phone contact, and any other form of communication Provider Manual: AIDS / HIV Case Management Rehabilitation Services N/A Provider Manual: Service Benefit Detail Reference Coverage Document Rehabilitation Services Community Health Worker Services CHW services will be available to Medicaid eligible individuals who have one or more chronic health (including behavior health) conditions, who are at risk for a chronic health condition, and who face barriers meeting their health or health-related social needs. Community Health Workers Services Doula Services Services are covered during the prenatal period, during delivery, and up to twelve (12) months postpartum. Provider Manual: Doula Services Home Care Services Includes laboratory services and private duty nursing for a patient whose medical condition requires more skilled nursing than intermittent visiting nursing care. Home care services include personal care services, such as assisting the client with personal hygiene, dressing, feeding, transfer, and ambulatory needs. Home care services also include homemaking services that are incidental to the client’s health needs such as making the client’s bed, cleaning the client’s living areas such as bedroom and bathroom, and doing the client’s laundry and shopping. Home care services do not include respite care, relief care or day care Provider Manual: Home Care Treatment for Gender Dysphoria Gender Nonconformity - extent to which a person's gender identity, role or expression differs from cultural norms prescribed for people of a particular sex and Gender Dysphoria - discomfort or distress that is caused by a discrepancy between the person's identity and that person's sex at birth birth. Covered services for members aged 18 and older: 1. Behavioral Health 2. Hormonal therapy 3. Laboratory testing required to monitor hormonal therapy 4. Surgical procedures included in list below. Non-reversible hormonal therapy. REQUIRES PRIOR AUTHORIZATION. Provider Manual: Gender Dysphoria PDF Version of Coverage Guidelines Adult Day Health Day programs for frail seniors and other adults who need supervision and health services during the daytime. Adult Day Health programs offer nursing care, therapies, personal care assistance, social and recreational activities, meals, and other services in a community group setting. Adult Day Health programs are for adults who return to their homes and caregivers at the end of the day. Provider Manual: Adult Day Health Nutrition Services Covered as delivered by a registered or licensed dietitian Behavioral Health (Outpatient& Inpatient) Covered services include a full continuum of Mental Health and Substance Use Disorder treatment, including but not limited to, community- based narcotic treatment, methadone, and community detox. Provider Manual: BH Services Service Benefit Detail Reference Coverage Document
Appears in 2 contracts
Tobacco Cessation Benefits. Interpreter Services Reimbursement for Interpreter Services for Medicaid fee for service recipients is available for services provided during a one on one, face to face medically necessary office visit. Provider types eligible to seek reimbursement include physicians, podiatrists, optometrists, nurse practitioners, outpatient hospital clinics, and behavioral health providers. Provider Manual: Interpreter Services Transplant Services N/A N/A HIV/AIDS Non-Medical Targeted Case Management for People Living with HIV/AIDS and those at High Risk for Acquiring HIV N/A Provider Manual: HIV/AIDS Providers AIDS Medical Case Management Includes client-specific advocacy and/or review of utilization of services. This includes all types of case management including face-to- face, phone contact, and any other form of communication Provider Manual: AIDS / HIV Case Management Rehabilitation Services N/A Provider Manual: Service Benefit Detail Reference Coverage Document Rehabilitation Services Community Health Worker Services CHW services will be available to Medicaid eligible individuals who have one or more chronic health (including behavior health) conditions, who are at risk for a chronic health condition, and who face barriers meeting their health or health-related social needs. Community Health Workers Services Doula Services Services are covered during the prenatal period, during delivery, and up to twelve (12) months postpartum. Provider Manual: Doula Services Home Care Services Includes laboratory services and private duty nursing for a patient whose medical condition requires more skilled nursing than intermittent visiting nursing care. Home care services include personal care services, such as assisting the client with personal hygiene, dressing, feeding, transfer, and ambulatory needs. Home care services also include homemaking services that are incidental to the client’s health needs such as making the client’s bed, cleaning the client’s living areas such as bedroom and bathroom, and doing the client’s laundry and shopping. Home care services do not include respite care, relief care or day care Provider Manual: Home Care Treatment for Gender Dysphoria Gender Nonconformity - extent to which a person's gender identity, role or expression differs from cultural norms prescribed for people of a particular sex and Gender Dysphoria - discomfort or distress that is caused by a discrepancy between the person's identity and that person's sex at birth Covered services for members aged 18 and older: 1. Behavioral Health 2. Hormonal therapy 3. Laboratory testing required to monitor hormonal therapy 4. Surgical procedures included in list below. Non-reversible hormonal therapy. REQUIRES PRIOR AUTHORIZATION. Provider Manual: Gender Dysphoria PDF Version of Coverage Guidelines Adult Day Health Day programs for frail seniors and other adults who need supervision and health services during the daytime. Adult Day Health programs offer nursing care, therapies, personal care assistance, social and recreational activities, meals, and other services in a community group setting. Adult Day Health programs are for adults who return to their homes and caregivers at the end of the day. Provider Manual: Adult Day Health Nutrition Services Covered as delivered by a registered or licensed dietitian Behavioral Health (Outpatient& Inpatient) Covered services include a full continuum of Mental Health and Substance Use Disorder treatment, including but not limited to, community- based narcotic treatment, methadone, and community detox. Provider Manual: BH Services Service Benefit Detail Reference Coverage Documentdietitian
Appears in 1 contract
Samples: Contract
Tobacco Cessation Benefits. Interpreter Services Reimbursement for Interpreter Services for Medicaid fee for service recipients is available for services provided during a one on one, face to face medically necessary office visit. Provider types eligible to seek reimbursement include physicians, podiatrists, optometrists, nurse practitioners, outpatient hospital clinics, and behavioral health providers. Provider Manual: Interpreter Services Transplant Services N/A N/A HIV/AIDS Non-Medical Targeted Case Management for People Living with HIV/AIDS and those at High Risk for Acquiring HIV N/A Provider Manual: HIV/AIDS Providers AIDS Medical Case Management Includes client-specific advocacy and/or review of utilization of services. This includes all types of case management including face-to- face, phone contact, and any other form of communication Provider Manual: AIDS / HIV Case Management Rehabilitation Services N/A Provider Manual: Service Benefit Detail Reference Coverage Document Rehabilitation Services Community Health Worker Services CHW services will be available to Medicaid eligible individuals who have one or more chronic health (including behavior health) conditions, who are at risk for a chronic health condition, and who face barriers meeting their health or health-related social needs. Community Health Workers Services Doula Services Services are covered during the prenatal period, during delivery, and up to twelve (12) months postpartum. Provider Manual: Doula Services Home Care Services Includes laboratory services and private duty nursing for a patient whose medical condition requires more skilled nursing than intermittent visiting nursing care. Home care services include personal care services, such as assisting the client with personal hygiene, dressing, feeding, transfer, and ambulatory needs. Home care services also include homemaking services that are incidental to the client’s health needs such as making the client’s bed, cleaning the client’s living areas such as bedroom and bathroom, and doing the client’s laundry and shopping. Home care services do not include respite care, relief care or day care Provider Manual: Home Care Treatment for Gender Dysphoria Gender Nonconformity - extent to which a person's gender identity, role or expression differs from cultural norms prescribed for people of a particular sex and Gender Dysphoria - discomfort or distress that is caused by a discrepancy between the person's identity and that person's sex at birth birth. Covered services for members aged 18 and older: 1. Behavioral Health 2. Hormonal therapy 3. Laboratory testing required to monitor hormonal therapy therapy. 4. Surgical procedures included in list below. Non-reversible hormonal therapy. REQUIRES PRIOR AUTHORIZATION. Provider Manual: Gender Dysphoria PDF Version of Coverage Guidelines Adult Day Health Day programs for frail seniors and other adults who need supervision and health services during the daytime. Adult Day Health programs offer nursing care, therapies, personal care assistance, social and recreational activities, meals, and other services in a community group setting. Adult Day Health programs are for adults who return to their homes and caregivers at the end of the day. Provider Manual: Adult Day Health Nutrition Services Covered as delivered by a registered or licensed dietitian Behavioral Health (Outpatient& Inpatient) Covered services include a full continuum of Mental Health and Substance Use Disorder treatment, including but not limited to, community- based narcotic treatment, methadone, and community detox. Provider Manual: BH Services Service Benefit Detail Reference Coverage Document
Appears in 1 contract
Samples: Contract
