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SERVICE SCOPE OF BENEFIT (ANNUAL) Including but not limited to: Treatment covered as medically necessary. As detailed in the Schedule of In-Plan Oral Health Benefits updated January 2017. Hospice Services Covered as ordered by an MCO physician/provider. Services limited to those covered by Medicare. Durable Medical Equipment Covered as ordered by an MCO physician/provider as medically necessary. Adult Day Health Day programs for frail seniors and other adults who need supervision and health services during the daytime. Adult Day Health programs offer nursing care, therapies, personal care assistance, social and recreational activities, meals, and other services in a community group setting. Adult Day Health programs are for adults who return to their homes and caregivers at the end of the day. Children’s Evaluations Covered as needed, child sexual abuse evaluations (victim and perpetrator); parent child evaluations; fire setter evaluations; PANDA clinic evaluations; and other evaluations deemed medically necessary. Nutrition Services Covered as delivered by a registered or licensed dietitian for certain medical conditions and as referred by an MCO physician. Group/Individual Education Programs Including childbirth education classes, parenting classes, wellness/weight loss and tobacco cessation programs and services. Interpreter Services Covered as needed. Transplant Services Covered when ordered by an MCO physician. HIV/AIDS Non-Medical Targeted Case This program may be provided for people living with HIV/AIDS and for those at high risk for acquiring HIV (see provider manual for distinct eligibility criteria for