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2.24 RHP In-Plan Capitated Benefits A. The benefits which the MCO provides within the capitated (fixed cost per enrollee per month) benefit. B. RHP comprehensive benefit package – The following benefits are included in the capitated rate on an annual basis, based on medical necessity: SERVICE SCOPE OF BENEFIT (ANNUAL) Including but not limited to: Inpatient Hospital Care As medically necessary. EOHHS shall be responsible for inpatient admissions or authorizations while Member was in Medicaid fee-for-service, prior to Member’s enrollment in Health Plan. Contractor shall be responsible for inpatient admissions or authorizations, even after the Member has been disenrolled from Contractor’s Health Plan and enrolled in another MCO or re-enrolled into Medicaid fee-for-service, until the management of the Member’s care is formally transferred to the care of another MCO, another program option, or fee-for-service Medicaid. Outpatient Hospital Services Covered as needed, based on medical necessity. Includes physical therapy, occupational therapy, speech therapy, language therapy, hearing therapy, respiratory therapy, and other Medicaid covered services delivered in an outpatient hospital setting. Therapies Covered as medically necessary, includes physical therapy, occupational therapy, speech therapy, hearing therapy, respiratory therapy and other related therapies. Physician/Provider Services Covered as needed, based on medical necessity, including primary care, specialty care, obstetric and newborn care. Family Planning Services Enrolled female members have freedom of choice of providers for family planning services. Prescription Drugs Covered when prescribed by an MCO physician/provider. Generic substitution only unless provided for otherwise as