048.0037.51.7

Ch. 51, § 7. Basic Level of Benefits

Last amended: 2024Length: 212 wordsOfficial source

Cite as Medicaid Rules, Ch. 51, § 7

(a) The covered services provided to CHIP clients, at a minimum, shall include the following services: (i) Inpatient hospital services; (ii) Outpatient hospital services; (iii) Physician services; (iv) Surgical services; (v) Clinic services and other ambulatory health care services; (vi) Prescription drugs; (vii) Laboratory and radiological services; (viii) Prenatal care and pre-pregnancy family planning services and supplies; (ix) Inpatient mental health services; (x) Outpatient mental health services; (xi) Durable medical equipment, prosthetics and orthotics; (xii) Abortion, only if necessary to save the life of the mother or if the pregnancy is the result of rape or incest; (xiii) Dental services; (xiv) Medically necessary orthodontia; (xv) Inpatient substance abuse treatment services; (xvi) Outpatient substance abuse treatment services; (xvii) Preventive care, screening and immunization; (xviii) Hospice care; (xix) Emergency medical transportation where care is administered during transportation; (xx) Vision services; (xxi) Dietician services; (xxii) Hearing services; (xxiii) Home health services; (xxiv) Interpretation services; (xxv) Nurse practitioner and nurse midwife services; (xxvi) Organ transplant services; (xxvii) Occupational, physical and speech therapy services; (xxviii) Rehabilitation services; (xxix) Non-emergency medical transportation services; and (xxx) Any other services determined to be medically necessary as defined in Medicaid Rules Chapter 1. (b) No exclusion for pre-existing conditions or a maximum life-time benefit per client shall be imposed under CHIP.
048.0037.51.7: Ch. 51, § 7. Basic Level of Benefits | Justis AI