Master list of covered services

Issue Date Service
12/22/2021 Ambulance (emergency only)
12/22/2021 Ambulatory Surgical Center
12/22/2021 Behavioral Health Services
12/22/2021 Dental
12/22/2021 Durable Medical Equipment (DME)
12/22/2021 Habilitative Occupational_Physcial_and_Speech Therapies
12/22/2021 Hearing Aid
12/22/2021 Home Health
12/22/2021 Hospice
12/22/2021 Hospital
12/22/2021 Long Term Care
12/22/2021 Non-Emergency Medical Transportation (NEMT)
12/22/2021 Optical
12/22/2021 Personal Care
12/22/2021 Pharmacy
12/22/2021 Physicians and Clinics
12/22/2021 Private Duty Nursing
12/22/2021 Therapies - Occupational, Physical, and Speech