18) enrolled in a DCF program Behavioral A special mental As medically necessary and Health Services health program to recommended by us Child Welfare children enrolled in – a DCF program Cardiovascular Services that treat Services the heart and We cover the following as circulatory (blood prescribed by your doctor: vessels) system Cardiac testing Cardiac surgical procedures Cardiac devices Copayment: $2.00 per office visit Child Health Services provided Your child must be enrolled in Services to children (ages 0 - the DOH Early Steps program Targeted Case 3) to help them get Management health care and other services Chiropractic Diagnosis and We cover: Services manipulative One new patient visit treatment of 24 established patient misalignments of visits per year the joints, especially X-rays the spinal column, Copayment: $1.00 per which may cause visit other disorders by affecting the nerves, muscles, and organs Clinic Services Health care Copayment: $3.00 per visit to services provided in a federally qualified health a county health center or rural health clinic department, visit federally qualified health center, or a rural health clinic Services provided As medically necessary and by a mental health recommended by us Services team to children who are at risk of going into a mental health treatment facility
18) enrolled in a DCF program Behavioral Health Services – Child Welfare A special mental health program to children enrolled in a DCF program As medically necessary and recommended by us Cardiovascular Services Services that treat the heart and circulatory (blood vessels) system We cover the following as prescribed by your doctor: Cardiac testing Cardiac surgical procedures Cardiac devices Copayment: $2.00 per office visit Child Health Services Targeted Case Management Services provided to children (ages 0 - 3) to help them get health care and other services Your child must be enrolled in the DOH Early Steps program Chiropractic Services Diagnosis and manipulative treatment of misalignments of the joints, especially the spinal column, which may cause other disorders by affecting the nerves, muscles, and organs We cover: One new patient visit 24 established patient visits per year X-rays Copayment: $1.00 per visit Clinic Services Health care services provided in a county health department, federally qualified health center, or a rural health clinic Copayment: $3.00 per visit to a federally qualified health center or rural health clinic visit Services Services provided by a mental health team to children who are at risk of going into a mental health treatment facility As medically necessary and recommended by us
Enrollee_Handbook_Template_For_MMA-and-LTC.docx