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Missouri Application for the State Children’s Health Insurance Program Effective Date: 09/01/2007 Approval Date: 09/28/2007

Prior Approval Date: - 23A - • Care Coordination - Section 3.1-A, pages 1a-1 and 1a-2, 1b-1 to 1b-3, 1c to 7c, 1f to 5f, and 1g to 10g. The State of Missouri uses the terms Case Management and Care Coordination interchangeably. • Rehabilitative Services - Section 3.1-A, page 17.

The MO HealthNet Program rules include, but are not limited to, benefit limits, extension of benefit limit procedures, prior authorization requirements, and age limits for services. 6.2.1  Inpatient services (Section 2110(a)(1)) 6.2.2  Outpatient services (Section 2110(a)(2)) 6.2.3  Physician services (Section 2110(a)(3)) 6.2.4  Surgical services (Section 2110(a)(4)) 6.2.5  Clinic services (including health center services) and other ambulatory health care services. (Section 2110(a)(5)