a r kids first- b section i i（r的孩子第一次我- b部分）（40页）.docVIP

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2017-01-19 发布于湖南
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a r kids first- b section i i（r的孩子第一次我- b部分）（40页）.doc

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Section II - ARKids First - B Contents 200.000 arkids first-b GENERAL INFORMATION 200.100 Introduction 200.110 ARKids First-A and ARKids First-B 200.200 Eligibility 200.300 ARKids First-B Identification Card 200.310 When a Beneficiary’s ARKids First Eligibility Changes 200.320 Provider Verification of Eligibility 200.330 ARKids First ID Card Example 200.340 Non-Receipt or Loss of ID Card 201.000 Electronic Signatures 210.000 PROGRAM POLICY 211.000 Provider Participation Requirements 220.000 COVERAGE 221.000 Scope 221.100 ARKids First-B Medical Care Benefits 221.200 Exclusions 222.000 Benefits - ARKids First-B Program 222.100 Medical Supplies Benefit 222.200 Durable Medical Equipment (DME) Benefit 222.300 Dental Services Benefit 222.400 Vision Care Benefit Limit 222.500 Home Health Benefit 222.600 Occupational, Physical and Speech Therapy Benefits 222.700 Preventive Health Screens 222.710 Introduction 222.720 Hearing Screens 222.730 Vision Screens 222.740 Preventive Dental Screens 222.800 Schedule for Preventive Health Screens 222.810 Newborn Screen 222.820 Infancy (Ages 1–12 Months) 222.830 Early Childhood (Ages 15 Months–4 Years) 222.840 Middle Childhood (Ages 5 - 10 Years) 222.850 Adolescence (Ages 11 - 18 Years) 222.900 Substance Abuse Treatment Services 223.000 Extended Benefits 223.100 Medical Supplies Extended Benefits 223.200 Occupational, Physical and Speech Therapy Extended Benefits 224.000 Cost Sharing 224.100 Co-payment 224.200 Co-insurance 224.210 Durable Medical Equipment Co-insurance 224.220 Inpatient Hospital Co-Insurance 240.000 PRIOR AUTHORIZATION 240.050 Prior Authorization (PA) Procedures 240.100 Inpatient Hospital Medicaid Utilization Management Program (MUMP) 240.200 Prior Authorization (PA) Process for Interperiodic Preventive Dental Screens 240.300 Prior Authorization (PA) for Outpatient and Inpatient Mental Health Services 240.400 Prior Authorization for Other Services 241.000 Beneficiary or Provider Appeal Process 250.000 REIMBURSEMENT 250