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Medical Services – Appendix D, Benefits Available Under Medicaid and ARKids First 01/01/19 Appendix D Page 2 of 4 Federally Qualified Health Center – Medicaid pays for a range of medically necessary procedures provided in a certified Federally Qualified Health Center. Hearing Services – Medicaid covers hearing tests and hearing aids for children under age 21 who are enrolled in the Child Health Services (EPSDT) Program. Home Health Care - Home health services are provided in the eligible person’s home. Hospice – Services for recipients who are terminally ill and not expected to live for a long period of time. Hyperalimentation Services - Fluids, equipment and supplies necessary for the administration of fluids in the recipient’s home for parenteral and enteral nutrition therapy are covered by Medicaid. Injections – Allergy shots and immunizations for recipients under age 21 are covered through the Child Health Services (EPDST) Program, if medically necessary. Although some other injections are covered by Medicaid, coverage is limited for adults. Inpatient Hospital Services – Medicaid pays for hospitalization when it is medically necessary. Inpatient Psychiatric Program - Coverage of Inpatient Psychiatric Services for individuals under age 21 and ARKids B recipients. Laboratory and X-Ray Services – Labs and x-rays are covered if requested by the doctor. There is a limit on the number of tests and x-rays for recipients age 21 or older. Living Choices Assisted Living (ALF) – Medicaid pays for apartment-styled housing for recipients (age 65 or older or age 21 through 64 determined as meeting a physical disability by SSA or DHS Medical Review Team) who are at risk of being placed in a nursing home or who already live in a nursing home and want more independence. Refer to MS B-312 for more information about this program. Long Term Care (Nursing Facility) – Medicaid pays for nursing home care in a Medicaid certified nursing home. Nursing home care must be recommended by a doctor. Refer to MS B-311 for more information about this program. Nurse-Midwife Service – Medicaid will pay for a certified nurse-midwife trained to deliver babies in a hospital, birthing center or clinic, or in the patient’s home, and to care for a woman while she is pregnant and just after she has the baby. ARKids B recipients have to pay a co-payment for each visit. Nurse Practitioner Services – Nurse practitioners are nurses with special training that can do some of the things a doctor can do. Medicaid will pay for a certain number of visits with a nurse practitioner. A doctor’s referral may be required. ARKids B recipients may have to pay a co-pay. Organ Transplants - Medicaid will pay for services required for certain organ transplants. Prior authorization is required.