Benefits Collaborative Approved Benefits Standards

The following Benefit Coverage Standards have completed the Benefits Collaborative Process, been approved by the State Medicaid Director, and are in effect.

Note: Not all services covered by Medicaid appear in the list below. This list represents those services that have been documented through the Benefits Collaborative Process.

BENEFIT COVERAGE STANDARD EFFECTIVE DATE REVIEW DATE
Abortion Services October 9, 2014 October 9, 2017
Ambulance Services April 2, 2012 Under Review
Ambulatory Surgery Centers May 1, 2012 Under Review
Augmentative and Alternative Communication Devices June 28, 2013 Under Review
Bariatric Surgery August 1, 2012 Under Review
Bone Mass Measurement May 3, 2010 Under Review
Computed Tomography (CT) Scans October 18, 2013 October 18, 2016
Dialysis Treatment Centers May 1, 2012 Under Review
Disorders of Sex Development (DSD) and Intersex Surgical Remediation August 1, 2012 Under Review
DME Oxygen September 1, 2011 Under Review
Echocardiogram December 22, 2014 December 22. 2017
Family Planning November 19, 2014 November 19, 2017
General Radiography (X-ray) October 18, 2013 October 18, 2016
Home Health Services January 1, 2012 Under Review
Hospice Services June 1, 2012 Under Review
Immunization Services April 2, 2012 Under Review
Magnetic Resonance Imaging (MRI) October 18, 2013 October 18, 2016
Maternity Services February 23, 2015 February 23, 2018
Non-Emergent Medical Transportation Services September 10, 2014 September 10, 2017
Outpatient Physical Therapy and Occupational Therapy Services October 1, 2012 Under Review
Pediatric Personal Care Services December 17, 2015 December 17, 2018
Podiatry Services May 1, 2012 Under Review
School-Based Health Centers August 1, 2012 Under Review
Speech - Language and Hearing Services July 2, 2012 Under Review
Substance Use Disorder (Fee-for-Service) April 8, 2015 April 8, 2018
Wheelchair November 13, 2015 November 13, 2018
Women's Health Services February 3, 2015 February 3, 2018