Valueoptions provider manual


















We appreciate your patience as we perform this update. If you have any questions about training, please email mosprovidertraining militaryonesource. Mobile Site Search Search Field. These services include behavioral health, which is an optional Medicaid service. Technically yes, but it is a bit more complicated than that. The program must cover medically necessary screenings, diagnosis, and treatment to this population. With respect to mental health services, federal law requires states to provide coverage for medically necessary screenings at prescribed intervals commonly referred to as periodicity schedules , to determine the existence of certain physical or mental illnesses or conditions.

At a minimum, the screening must include a comprehensive health and development history including assessment of both physical and mental health development. Agency Regs. There have been a few requests for EPSDT-related services not covered by the state ' s plan, according to the officials.

In at least one case, the request was denied after a fair hearing process. If it had been granted, the state, presumably, would pay one half of the service cost and the federal government would pay the other half. But according to DSS officials, these services, which include making and facilitating referrals and developing and coordinating a plan of services that will help children and youth under age 21 who are Medicaid recipients access the services they need, are in the state ' s Medicaid state plan and hence are not EPSDT-covered services.

If you do not have access to this software, you may download and install these applications on your computer. Beacon reserves the right to interpret and construe any terms or provisions in this Handbook and to amend it, at its sole discretion, at any time. To the extent that there is an inconsistency between the Handbook and the provider contract, Beacon reserves the right to interpret such inconsistency. Please Log In Required fields are denoted by an asterisk adjacent to the label.

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