Description that the prior X X X X X X authorization is not required for emergency services [438.10(g)(2)(v)(B)] How to obtain emergency X X X X X X transportation and medically necessary transportation A description of all available X X X X X X covered services and where to access services provided, including any cost sharing. The description should include covered dental and behavioral health services.[438.10(2)(ii)] The amount, duration, and X X X X X X scope of benefits available in sufficient detail to ensure that members understand the
Description that the prior authorization is not required for emergency services [438.10(g)(2)(v)(B)] X X X X X X How to obtain emergency transportation and medically necessary transportation X X X X X X A description of all available covered services and where to access services provided, including any cost sharing. The description should include covered dental and behavioral health services.[438.10(2)(ii)] X X X X X X The amount, duration, and scope of benefits available in sufficient detail to ensure that members understand the X X X X X X
406-Attachment-A-Member-Handbook-Checklist-2.docx