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Benefit/Service Children of Caretaker Relatives Categorically Needy Children KCHIP Children – Medicaid Expansion Program

KCHIP Children – Separate Chip Program Home Health Services Limited to 25 visits per 12 months $0 co-pay $0 co-pay $0 co-pay $0 co-pay DME $0 co-pay $0 co-pay $0 co-pay $0 co-pay Early Periodic Screening and Diagnosis (EPSD) $0 co-pay $0 co-pay $0 co-pay $0 co-pay Treatment (T) Services for Conditions Identified Through Early Periodic Screening and Diagnosis (EPSDT) $0 co-pay $0 co-pay $0 co-pay Not Covered

Substance Abuse EPSDT only $0 co-pay $0 co-pay $0 co-pay Not Covered

* Physician Office Services includes physicians, certified pediatric and family nurse practitioners, nurse midwives, FQHCs, rural health clinics (RHCs), primary care centers (PCCs) and physician assistants. **Behavioral Health Services include mental health rehab/stabilization, behavioral support, psychological services and inpatient psychiatric services.