If all eligibility requirements are met, NCPs are eligible for MC+ healthcare coverage. Coverage for the NCP begins with the date of application, provided the NCP is subsequently found eligible, and was not obviously ineligible for the entire month of application and any subsequent month prior to approval. If an NCP is obviously ineligible for the entire month of application and any subsequent months prior to approval, MC+ healthcare coverage begins with the first day of the month in which eligibility is met.
NCPs approved for MC+ receive a more restricted coverage package than received by MC+ children and parents eligible for MAF. The package includes most of the services covered for MAF parents. The major differences between this package and that received by adult MAF recipients are:
- Non-emergency medical transportation is not covered;
- Vision care is limited;
- Routine dental care is not covered;
- EPSDT services for custodial parents under age 21 are not provided.
For specific coverage questions, recipients need to contact their health plan, provider, or DMS Recipient Services at 1-800-392- 2161
Cost sharing will be $10 at the time of each provider visit and $5.50 to $7 for each prescription. The co-payment amount is based on the actual cost of the product being dispensed.