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6.1.2. Effective Date: November 1, 2009 November 1, 2009 November 1, 2009 6.1.1.2. State employee coverage; (Section 2103(b)(2)) (If checked, identify the plan and attach a copy of the benefits description.) California will use the CalPERS state employee benefit package as the benchmark coverage health. It will provide enhanced services beyond the benchmark package, including comprehensive dental and vision coverage, screening and initial treatment services through the CHDP program and treatment services for severely ill children in a non managed care delivery system. Uninsured children granted presumptive eligibility by a CHDP provider will be provided these same benefits during the period of presumptive eligibility as well. For a full benefits description, see Attachment 6. Attachment A, a copy of Article 3 of the AIM program regulations, details of the benefits of the Access to Infants and Mothers’ (AIM) program. However no abortion benefits will be provided under this state plan for eligibles receiving prenatal coverage through the AIM Program for the Medi-Cal Program. Attachment B, from our actuarial consultant Leslie Paters of Cooper’s and Lybrand, states that the AIM benefit package is at least equivalent to the health benefits coverage used for our benchmark plan. 6.1.1.3. HMO with largest insured commercial enrollment (Section 2103(b)(3)) (If checked, identify the plan and attach a copy of the benefits description.)
Benchmark-equivalent coverage; (Section 2103(a)(2) and 42 CFR 457.430) Specify the coverage, including the amount, scope and duration of each service, as well as any exclusions or limitations. Please attach a signed actuarial report that meets the requirements specified in 42 CFR 457.431. See instructions. Attachment A, a copy of Article 3 of the AIM program regulations, details the benefits of the Access to Infants and Mothers’ (AIM) program. The benefits of the AIM Program for infants born to mothers Approval Date: HFP Family Contribution Increase HFP Co-Payment Increase HFP Limited Dental Plan Choice for New Subscribers
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