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MEDICAL SERVICES POLICY MANUAL,SECTION A
A 100General Program Information
• Prescription Drugs; • Rehabilitative and Habilitative Services; • Laboratory Services; • Preventive and Wellness Services and Chronic Disease Management; and • Pediatric Services, including Dental and Vision Care; EXCEPTION: Individuals eligible for the Adult Expansion Group who have health care needs that make coverage through a QHP impractical, or overly complex, or who would undermine continuity or effectiveness of care, will not enroll in a private QHP plan but will remain in Health Care. A-105Nondiscrimination MSManual 08/15/14
No person will be prevented from participating, denied benefits, or subjected to discrimination on the basis of race, color, national origin, age, religion, disability, sex, veteran status, or political affiliation. The Agency will be in compliance with the provisions of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Americans with Disabilities Act of 1990, and regulations issued by the Department of Health and Human Services. The Agency has the responsibility for informing applicants and recipients that assistance is provided on a nondiscriminatory basis and that they may file a complaint with the Agency or federal government if it is thought that discrimination has occurred on the basis of race, color, national origin, sex, age, sexual orientation, gender identity or disability. A-110 Cost Sharing Coinsurance/Copayment MS Manual 01/01/23 Health Care Programs could include out-of-pocket spending (cost sharing) on covered services that follow 42 CFR § 447.50. Examples of cost sharing can include: coinsurance, co-payments, premiums, and prescription costs. The coinsurance and copayment policy does not apply to the following recipients and/or services: 1. Individuals under twenty-one (21) years of age receiving coverage through ARKids A or Newborn; 2. Pregnant women; 3. Family Planning services and supplies; 4. Individuals receiving Medically Frail or Alternative Benefit Plan (ABP);