care for people with mental illnesses Mobile Crisis A team of health As medically necessary and Assessment and care professionals recommended by us Intervention who provide Services emergency mental health services, usually in people’s homes MultiSystemic An intensive service As medically necessary and Therapy focused on the recommended by us Services family for children at risk of residential mental health treatment Neurology Services to Covered as medically Services diagnose or treat necessary conditions, illnesses Copayment: $2.00 per or diseases of the office visit brain, spinal cord or nervous system Non-Emergency Transportation to We cover the following Transportation and from all of your services for recipients who Services medical have no transportation: appointments. This Out-of-state travel could be on the bus, Transfers between a van that can hospitals or facilities transport disabled Escorts when medically people, a taxi, or necessary other kinds of Copayment: $1.00 per vehicles each one-way trip ($2.00 to go to your doctor’s office and back home) Nursing Facility Medical care or We cover 365/366 days of Services nursing care that services in nursing you get while living facilities as medically full-time in a nursing necessary facility. This can be Copayment: See a short-term information on Patient rehabilitation stay or Responsibility for long-term copayment information Occupational Occupational We cover for children ages Therapy therapy includes 20 and for adults under the Services treatments that help
care for people with mental illnesses Mobile Crisis Assessment and Intervention Services A team of health care professionals who provide emergency mental health services, usually in people’s homes As medically necessary and recommended by us MultiSystemic Therapy Services An intensive service focused on the family for children at risk of residential mental health treatment As medically necessary and recommended by us Neurology Services Services to diagnose or treat conditions, illnesses or diseases of the brain, spinal cord or nervous system Covered as medically necessary Copayment: $2.00 per office visit Non-Emergency Transportation Services Transportation to and from all of your medical appointments. This could be on the bus, a van that can transport disabled people, a taxi, or other kinds of vehicles We cover the following services for recipients who have no transportation: Out-of-state travel Transfers between hospitals or facilities Escorts when medically necessary Copayment: $1.00 per each one-way trip ($2.00 to go to your doctor’s office and back home) Nursing Facility Services Medical care or nursing care that you get while living full-time in a nursing facility. This can be a short-term rehabilitation stay or long-term We cover 365/366 days of services in nursing facilities as medically necessary Copayment: See information on Patient Responsibility for copayment information Occupational Therapy Services Occupational therapy includes treatments that help We cover for children ages and for adults under the 20
Enrollee_Handbook_Template_For_MMA-and-LTC.docx