Page 28

MMP Medicaid Benefits (a) In-Plan (b) Out-of-Plan (30) AIDS Medical Case Management

(31) Court-ordered Mental Health and Substance Abuse Services – Criminal Court

(32) Court-ordered Mental Health and Substance Abuse Treatment – Civil Court

(33) Telemedicine

(34) Preventive Services, including: Homemaker Personal Care Services Minor Environmental Modifications Physical Therapy Evaluation and Services Respite

(35) Long Term Services and Supports, including: Homemaker Meals on Wheels (Home Delivered Meals) Personal Emergency Response (PERS)