MEG 2) ABD Waiver Population additional benefits - individuals receive Standard Medicaid benefits package through the State Plan. Waiver covers dental treatment services above the $1,125 State Plan dental treatment cap. F. Coverage Vehicle Please check the coverage vehicle(s) for all applicable eligibility categories in the chart below (check multiple boxes if more than one coverage vehicle will be used within a category): Figure III. Coverage Vehicle Eligibility Medicaid or Private Other Comments Category Health Health (specify) Managed Insurance Plan Care Coverage Coverage have √*Individuals MEG 1) MHSP Waiver Standard √ √* √* the Standard Population Medicaid Medicaid benefit Benefit unless the individual is able to obtain Employer Sponsored Health Care or MEG 2) ABD Waiver Standard √ √* √* Private Health Population Medicaid Insurance through Benefit the Montana Medicaid HIPP Dental Program. Treatment Services above $1,125 Please include a detailed description of any private health insurance coverage options as Attachment D in your proposal. Detailed descriptions of private health insurance coverage options are included in Attachment D. G. Private Health Insurance Coverage Options Coordination with private health insurance coverage is an important feature of a HIFA demonstration. One way to achieve this goal is by providing premium assistance or into” employer-sponsored “buying insurance policies. Description of additional activities may be provided in Attachment D to the State’s application for a HIFA demonstration. If the State is employing premium assistance, please use the section below to provide details. As part of the demonstration, the will be providing premium assistance for private health insurance coverage under the demonstration. Provide the information below for the relevant demonstration population(s): If individuals from the Waiver for Additional Services and Population have the opportunity to obtain employer sponsored insurance or private insurance, if cost effective, the aiver will pay the full premium payment. See Attachment D Private and Public Health Insurance Coverage Options Including Premium Assistance. The State elects to provide the following coverage in its premium assistance program: (Check all applicable and describe benefits and wraparound arrangements, if applicable, in Attachment D to the
MEG 2) ABD Waiver Population additional benefits - individuals receive Standard Medicaid benefits package through the State Plan. Waiver covers dental treatment services above the $1,125 State Plan dental treatment cap. F. Coverage Vehicle Please check the coverage vehicle(s) for all applicable eligibility categories in the chart below (check multiple boxes if more than one coverage vehicle will be used within a category): Figure III. Coverage Vehicle Eligibility Category Medicaid or Managed Care Private Health Insurance Coverage Health Plan Coverage Other (specify) Comments MEG 1) MHSP Waiver Population √ Standard Medicaid Benefit √* √* √*Individuals have the Standard Medicaid benefit unless the individual is able to obtain Employer Sponsored Health Care or Private Health Insurance through the Montana Medicaid HIPP Program. MEG 2) ABD Waiver Population √ Standard Medicaid Benefit Dental Treatment Services above $1,125 √* √* Please include a detailed description of any private health insurance coverage options as Attachment D in your proposal. Detailed descriptions of private health insurance coverage options are included in Attachment D. G. Private Health Insurance Coverage Options Coordination with private health insurance coverage is an important feature of a HIFA demonstration. One way to achieve this goal is by providing premium assistance or “buying into” employer-sponsored insurance policies. Description of additional activities may be provided in Attachment D to the State’s application for a HIFA demonstration. If the State is employing premium assistance, please use the section below to provide details. As part of the demonstration, the will be providing premium assistance for private health insurance coverage under the demonstration. Provide the information below for the relevant demonstration population(s): If individuals from the Waiver for Additional Services and Population have the opportunity to obtain employer sponsored insurance or private insurance, if cost effective, the aiver will pay the full premium payment. See Attachment D Private and Public Health Insurance Coverage Options Including Premium Assistance. The State elects to provide the following coverage in its premium assistance program: (Check all applicable and describe benefits and wraparound arrangements, if applicable, in Attachment D to the