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member’s life or health or ability to attain, maintain, or regain maximum function. The MMP can extend the deadline for a decision by up to fourteen (14) days if requested by the beneficiary or if the delay is in the beneficiary’s best interest. 1.7.8 MMP Benefit Package A. The MMP provides a comprehensive benefit package to members that includes a full continuum of Medicare and Medicaid services as follows: 1. Medicare – Medicare Parts A, B, and D-funded medically necessary services. 2. Medicaid Services – The standard of "medical necessity" is used as the basis for determining whether access to a Medicaid covered service is required and appropriate. Medically necessary services must be provided in the most cost-efficient and appropriate setting and must not be provided solely for the convenience of the member or service provider. Medicaid services may be in-plan or out-of-plan. In-plan services are paid for on a capitated basis. Certain Medicaid-covered services are considered “out-of- plan” and are provided on a fee-for service basis. The MMP is not responsible for delivering or reimbursing out-of-plan services but is expected to coordinate in-plan services with out-of-plan services. Out-of- plan services are provided by existing Medicaid-approved providers who are reimbursed directly by Medicaid on a fee-for-service basis. The Medicaid coverage provided through the MMP is categorized as follows: MMP Medicaid Benefits (a) In-Plan (b) Out-of-Plan (01) Inpatient Hospital Care (01) Dental Services (02) Outpatient Hospital Services (02) Non-Emergency Transportation Services (The health plan is required to coordinate with EOHHS’ non- emergency transportation broker) (03) Physical Therapy Evaluation and Services (03) Residential Services for Clients with Intellectual and