Examples of Program Benefit in a sentence
Topic #16197 Care4Kids Program Benefit PackageCovered ServicesMembers enrolled in the Care4Kids program are eligible to receive all medically necessary services covered under Wisconsin Medicaid; however, Care4Kids will have the flexibility to provide services in a manner that best meets the unique needs of children in out-of-home care, including streamlining PA (prior authorization) requirements and offering select services in home settings.
COB does not apply to the Outpatient Prescription Drug Program Benefit Section.The order of benefit determination rules should be looked at first.
However, you may receive coverage for up to a 12 month supply for dispensed contraceptive drugs and products that are covered under the Outpatient Prescription Drug Program Benefit section.
If you do not choose the therapeutic equivalents that are covered under the Outpatient Prescription Drug Program Benefit section, the drug purchased will not be covered under any benefit level.
This extension of benefits does not apply to the Outpatient Prescription Drug Program Benefit Section.PREAUTHORIZATION REQUIREMENTSPreauthorization is a requirement that you must obtain authorization from Blue Cross and Blue Shield before you receive a certain type of Covered Services designated by Blue Cross and Blue Shield in order to be eligible for maximum benefits.
However, you may receive coverage for up to a 12-month supply for dispensed contraceptive drugs and products that are covered under the Outpatient Prescription Drug Program Benefit section.
Program Benefit Agreement revenues collected in lieu of state supplemental rebates will be expended prior to utilization of any General Revenue available for the purpose of the Medicaid program specified in the Agreement.
Coordination of Benefits (COB) does not apply to the Outpatient Prescription Drug Program Benefit Section.
Benefits will also be provided for all medically necessary pain medication related to the treatment of breast cancer under the Outpatient Prescription Drug Program Benefit Section of this Policy.
The PIHP shall identify children who meet the eligibility criteria for the Children’s Waiver Program Benefit Plan and submit to MDHHS prescreens for those children.