MEMBER HANDBOOK

Learn more about your benefits and responsibilities in our Member Handbook

IMPORTANT UPDATES

ATTENTION: MEDICAID MANAGED CARE BENEFICIARIES CHANGES TO YOUR MEDICAID PHARMACY BENEFITS EFFECTIVE April 1, 2023

• Member Notice: English / Spanish
• Member Handbook Update: English / Spanish

Applied Behavior Analysis (ABA) Services  – November 2022:

• Member Notice: English / Spanish
• Member Handbook Update: English / Spanish

At Home COVID – 19 Test:

• Member Notice: English / Spanish

Children’s Behavioral Health Services:

• Member Notice: English / Spanish
• Member Handbook Update: English / Spanish

Children’s Family Treatment and Support Services:

Additional services for members under 21

• Member Notice: English / Spanish
• Additional services for members under 21: English / Spanish

New services for members under 21

• Member Notice: English / Spanish
• New services for members under 21: English / Spanish

Children’s Home and Community Based Services (HCBS):

• Member Notice: English / Spanish
• Member Handbook Update: English / Spanish

Crisis Residence Services for Children and Adults

• Member Notice: English / Spanish
• Member Handbook Update: English / Spanish

Core Services 

• Member Notice: English / Spanish
• Member Handbook Update: English / Spanish

Dental Implants:

• Member Notice: English / Spanish

Gambling Disorder Treatment Provided by Office of Addiction Services and Supports (OASAS) Certified Programs:

• Member Notice: English  / Spanish
• Member Handbook Insert: English / Spanish

Harm Reduction Services:

• Member Notice: English  / Spanish
• Harm Reduction Services Member Handbook Insert: English / Spanish

Infertility Services Benefit:

• Member Notice: English/Spanish
• Infertility Services Member Handbook Insert: English/Spanish

Medically Tailored Home Delivered Meals – UPDATED 2023
Member Notices: English/ Spanish
Member Handbook Update: English / Spanish

Medically Tailored Home Delivered Meals – UPDATED 2022

• Member Notices: English/ Spanish
• Member Handbook Update: English / Spanish

Medically Tailored Home Delivered Meals

• Member Notices: English/ Spanish
• Member Handbook Update: English / Spanish

National Diabetes Prevention Program (NDPP) Services:

• Member Notice: English/Spanish
• NDPP Services Member Handbook Insert: English/Spanish

Pharmacy Co-Pays:

• Member Notice: English/Spanish
• Pharmacy Co-Pays Member Handbook Insert: English/Spanish

Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS): English/Spanish

Smoking Cessation Benefit

• Member Notice: English/Spanish

Specialty Care Benefit for Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST) Effective – January 1, 2021

• Member Notice: English/Spanish
• Specialty Care Physical Therapy (PT), Occupational Therapy (OT), and Speech Therapy (ST): English/Spanish

Voluntary Foster Care Agency (VFCA) Health Facility Services

• Member Notice: English/Spanish
• Voluntary Foster Care Agency (VFCA) Health Facility services : English/Spanish

July 2018:

• Member Notice: English / Spanish
• Physical Therapy Visits – Update:   English / Spanish

April 2018:

• Changes to the Service Authorizations, Complaints and Appeals Process:     English / Spanish