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Medical Services – Appendix D, Benefits Available Under Medicaid and ARKids First 01/01/19 Appendix D Page 1 of 4 Generally, there is no limit on benefits to individuals under age 21 who are enrolled in the Child Health Services Program (EPSDT). There may be benefit limits to individuals over age 21. Below is a description of some of the benefits available either through Medicaid or ARKids First. Ambulatory Surgical Center (ASC) Services – Ambulatory surgical centers provide surgeries that do not require an overnight hospital stay. Recipients of ARKids B have to pay a co-payment for these services. ARChoices –This waiver service is for adults age 21 and over who need special care to live at home or in the community instead of a nursing home. These Individuals must have a physical disability as determined by SSI/SSA, Railroad Retirement or DHS Medical Review Team. Refer to MS B-314 for additional information about this program. Autism Services – One-on-one intensive early intervention treatment for Medicaid recipients ages eighteen (18) months through seven (7) years with a diagnosis of autism. Refer to MS B-316 for additional information about this program. Child Health Management Services (CHMS) – Medicaid or ARKids A will pay for many different services for a child under 21 that is found to have a health problem or is not developing normally. These services can include medical, psychological, speech and language pathology, occupational therapy, physical therapy, behavioral therapy and audiology. Child Health Services (CHS) Early and Periodic Screening, Diagnosis and Treatment (EPSDT) CHS is a free comprehensive health care service for eligible recipients from birth to age 21. This program is administered through the Division of Medical Services (DMS). Chiropractic Services - Chiropractic services are limited to manipulation of the spine. Dental Services – Dental care is covered for children under age 21 with ARKids A, Medicaid and adults with full Medicaid. Orthodontia and limited dental care services are available for children with ARKids B. DDS Alternative Community (ACS) Waiver Services – The service offers certain “home and community- based services” as an alternative to institutionalization for recipients who have a developmental disability and need special care no matter how old they are. Refer to MS B-317. Developmental Day Treatment Clinic Services (DDTCS) – Services provided to adults and children with developmental disabilities, such as autism or severe learning disabilities. Durable Medical Equipment (DME) – Medicaid and ARKids will pay for some durable medical equipment. A prescription and a referral from the PCP are required. Emergency Services – Medicaid will pay for services provided in a hospital emergency room only if the services meet the Medicaid emergency criteria. Family Planning Services – Medicaid pays for these services for recipients who are of childbearing age.