Page 6
§17-1720-10 (L) (M) Pregnancy related, maternity and newborn care services; (N) Medical services related to dental needs; (0) Methadone management; (P) Non-emergency transportation; (P) Prescription or over-the-counter drugs with a prescription limited by a strict f ormulary and defined in the contract negotiated between the health plan and the department; (Q) Other practitioner services; (R) Out-of-State services; (S) Physician services; (T) Podiatry services; (U) Preventative services; (V) Rehabilitation services including physical, occupational, speech, and cognitive rehabilitation therapy; (W) Sterilization services; (X) Smoking cessation services; (Y) Substance abuse treatment services; (Z) Urgent care services; (AA) Vaccinations; and (BB) Vision and hearing services. [Eff 09/30/13; am and comp 'NOV 10 2016 ] (Auth: HRS §346-14; 42 C.F.R. §§430.25, 438.6, 4 4 0 . 210 ) ( I mp : HRS § 3 4 6 - 14 ; 4 2 C . F . R . §§430.25, 438.6, 440.210) §§17-1720-11 to 17-1720-13 (Reserved) SUBCHAPTER 4 SPECIALIZED BEHAVIORIAL HEALTH SERVICES §17-1720-14 Specialized behavioral health services. (a) In addition to services included in the standard benefits package under section 17-1720-10 and 1720-6 3206 If