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Effective Date:

Approval Date:

Updated and amended effective August 24, 2001

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6.2.11.

Outpatient mental health services, other than services described in 6.2.19, but including services furnished in a state-operated mental hospital and including community-based services (Section 2110(a)(11)

Outpatient mental health services are limited to 50 visits per year and include case management designed to promote coordination, monitoring, and access to any medically necessary service or resource to provide support, training and assistance designed to enable CHIP enrollees to function in family, school and community; individual, group or family therapy which is office or community based (family, home, school, daycare, etc.); appropriate and medically necessary intervention in the home, school or other community setting with an emphasis on family involvement in enrollee treatment; and prescription medication.

6.2.12.

Durable medical equipment and other medically-related or remedial devices (such as prosthetic devices, implants, eyeglasses, hearing aids, dental devices, and adaptive devices) (Section 2110(a)(12))

6.2.13.

Disposable medical supplies (Section 2110(a)(13))

6.2.14.

Home and community-based health care services (See instructions) (Section 2110(a)(14))

6.2.15.

Nursing care services (See instructions) (Section 2110(a)(15))

6.2.16.

Abortion only if necessary to save the life of the mother or if the pregnancy is the result of an act of rape or incest (Section 2110(a)(16)

6.2.17.

Dental services (Section 2110(a)(17))

6.2.18.

Inpatient substance abuse treatment services and residential substance abuse treatment services (Section 2110(a)(18)) • Inpatient Treatment – Detoxification limited to seven (7) days per year, with a lifetime maximum of four (4) inpatient admissions • Non-hospital Residential treatment – Ninety (90) days per year; lifetime maximum of three hundred sixty days (360)

6.2.19.

Outpatient substance abuse treatment services (Section 2110(a)(19)) • Outpatient treatment – Ninety (90) full-session visits per year;