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, 1012 | 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 |
| Bone Mass Measurement | May 3, 2010 | May 2, 2013 |
| Computed Tomography (CT) Scans | October 18, 2013 | October 18, 2016 |
| Dental-Adult Dentures | January 27, 2015 | January 27, 2018 |
| 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 | 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 | 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, 2016 |
| Maternity Services | February 23, 2015 | February 23, 2018 |
| Non-Emergent Medical Transportation Services | September 10, 2014 | September 10, 2017 |
| Podiatry Services | May 1, 2012 | May 1, 2015 |
| School-Based Health Centers | August 1, 2012 | August 1, 2015 |
| Speech - Language and Hearing Services | July 2, 2012 | July 2, 2015 |
| Women's Health Services | February 3, 2015 | February 3, 2018 |