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Foot Care and Treatment of Mycotic Nails
Open a PDF
2.01.35
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2020-09-21 |
Feet (Podiatry)
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Gender Reassignment/Gender Affirming Surgery and Treatments for Medicaid Managed Care Plan (MMCP) and Health and Recovery Plan (HARP) Members
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7.01.105
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2020-09-21 |
Miscellaneous
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Medical Response to Contamination from Terrorist Attacks: Biological (e.g., Anthrax, Germ Warfare, Plague, Smallpox), Chemical, Radiation
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11.01.09
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2020-09-21 |
Miscellaneous
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Out of Area/Out of Network Services
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11.01.13
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2020-09-21 |
Miscellaneous
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Home Phototherapy for Hyperbilirubinemia (e.g., Biliblanket, Bili Lights)
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1.01.33
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2020-09-21 |
Children's Health (Pediatrics)
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Positive Airway Pressure Devices: CPAP, BiPAP, APAP, DPAP, C-FLex
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1.01.06
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2020-09-21 |
Durable Medical Equipment & Supplies
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Partial Hospitalization for Substance Use Disorders, Chemical Dependency
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3.01.18
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2020-09-21 |
Behavioral Health (Psychology)
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Reduction Mammaplasty/ Breast Reduction
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7.01.39
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2020-09-21 |
Cosmetic / Reconstructive Surgery
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Sex Offender Treatment Program
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3.01.17
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2020-09-21 |
Behavioral Health (Psychology)
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Speech/Language Pathology and Therapy (e.g., Fast ForWord, Lee Silverman Voice Therapy [LSVT-LOUD™],Vocal Cord Dysfunction, Voice Therapy
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8.01.13
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2020-09-21 |
Therapy & Rehabilitation
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Standard Dialectical Behavioral Therapy (DBT)
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3.01.10
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2020-09-21 |
Behavioral Health (Psychology)
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Surgical Stockings (e.g., Gradient Compression/GCS, Jobst, Sigvaris, TEDs) and Compression Garments (e.g., Arm Assist, Belisse Compressure Bra, Lymphedema, Mastectomy, Circaid, Juzo, Reid Sleeves)
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1.01.14
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2020-09-21 |
Durable Medical Equipment & Supplies
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Behavioral Health Treatment for Gender Dysphoria: Gender Identity Disorder (GID), Intersex, Transexualism
Open a PDF
3.01.15
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2020-09-21 |
Behavioral Health (Psychology)
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Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
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7.01.103
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2020-5-08 |
Nervous Systems (Neurology)
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