If all eligibility requirements are met, PFS participants are eligible for MC+ healthcare coverage. Coverage for begins with the date of application, provided the NCP is subsequently found eligible.
PFS participants approved for MC+ will receive a more restricted coverage package than that 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:
For specific coverage questions, recipients need to contact their health plan, provider, or DMS Recipient Services at 1-800-392- 2161
- Vision care is limited;
- Routine dental care is not covered; and
- EPSDT services for NCP's under age 21 are not covered.
NOTE: There is no cost sharing for these participants.