Child health assistance

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Child health assistance

For purposes of this subchapter, the term “child health assistance” means payment for part or all of the cost of health benefits coverage for targeted low-income children that includes any of the following (and includes, in the case described in section 1397ee(a)(1)(D)(i) of this title , payment for part or all of the cost of providing any of the following), as specified under the State plan:

(1)#

Inpatient hospital services.

(2)#

Outpatient hospital services.

(3)#

Physician services.

(4)#

Surgical services.

(5)#

Clinic services (including health center services) and other ambulatory health care services.

(6)#

Prescription drugs and biologicals and the administration of such drugs and biologicals, only if such drugs and biologicals are not furnished for the purpose of causing, or assisting in causing, the death, suicide, euthanasia, or mercy killing of a person.

(7)#

Over-the-counter medications.

(8)#

Laboratory and radiological services.

(9)#

Prenatal care and prepregnancy family planning services and supplies.

(10)#

Inpatient mental health services, other than services described in paragraph (18) but including services furnished in a State-operated mental hospital and including residential or other 24-hour therapeutically planned structured services.

(11)#

Outpatient mental health services, other than services described in paragraph (19) but including services furnished in a State-operated mental hospital and including community-based services.

(12)#

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

(13)#

Disposable medical supplies.

(14)#

Home and community-based health care services and related supportive services (such as home health nursing services, home health aide services, personal care, assistance with activities of daily living, chore services, day care services, respite care services, training for family members, and minor modifications to the home).

(15)#

Nursing care services (such as nurse practitioner services, nurse midwife services, advanced practice nurse services, private duty nursing care, pediatric nurse services, and respiratory care services) in a home, school, or other setting.

(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.

(17)#

Dental services.

(18)#

Inpatient substance use treatment services and residential substance use treatment services.

(19)#

Outpatient substance use treatment services.

(20)#

Case management services.

(21)#

Care coordination services.

(22)#

Physical therapy, occupational therapy, and services for individuals with speech, hearing, and language disorders.

(23)#

Hospice care (concurrent, in the case of an individual who is a child, with care related to the treatment of the child’s condition with respect to which a diagnosis of terminal illness has been made. 1 1 So in original. A closing parenthesis probably should precede the period.

(24)#

Any other medical, diagnostic, screening, preventive, restorative, remedial, therapeutic, or rehabilitative services (whether in a facility, home, school, or other setting) if recognized by State law and only if the service is—

(A) prescribed by or furnished by a physician or other licensed or registered practitioner within the scope of practice as defined by State law,

(B) performed under the general supervision or at the direction of a physician, or

(C) furnished by a health care facility that is operated by a State or local government or is licensed under State law and operating within the scope of the license.

Child health assistance

Child health assistance

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