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Approved Benefit Coverage Standards

The following benefit coverage standards have completed the Benefits Collaborative process, been approved by the State Medicaid Director, and are in effect:

 

Benefit Coverage Standard Effective Date Review Date

Abortion Services

September 3, 2009 September 3, 2012

Ambulance Services

April 2, 2012 April 2, 2015

Ambulatory Surgery Centers

May 1, 2012 May 1, 2015
Augmentative and Alternative Communication Devices June 28, 2013 June 28, 2015

Bariatric Surgery

August 1, 2012 August 1, 2015
Computed Tomography (CT) Scans October 18, 2013 October 18, 2016

Developmental, Depression, and Autism Screenings

August 1, 2011 August 1, 2014

Dialysis Treatment Centers

May 1, 2012 May 1, 2015

Disorders of Sex Development (DSD) and Intersex Surgical Remediation

August 1, 2012 August 1, 2015

DME Oxygen

September 1, 2011 September 1, 2014

Echocardiogram (EKG)

February 3, 2010 Februray 3, 2013

Family Planning

September 3, 2009 September 3, 2012
General Radiography (X-ray) October 18, 2013 October 18, 2013

Home Health Services

January 1, 2013 December 31, 2015

Hospice Services

June 1, 2012 June 1, 2015

Immunization Services

April 2, 2012 April 2, 2015
Magnetic Resonance Imaging (MRI) October 18, 2013 October 18, 2013

Maternity Services 

September 3, 2009 September 3, 2012

Non-Emergent Medical Transportation Services

April 2, 2012 April 2, 2015

Podiatry Services

May 1, 2012 May 1, 2015

School-Based Health Centers

August 1, 2012 August 1, 2015

Speech - Language & Hearing Services

July 2, 2012 July 2, 2015

Women's Health Services 

September 3, 2009 September 3, 2012