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
Applied Behavior Analysis (ABA) Services – November 2022:
At Home COVID – 19 Test:
Children’s Behavioral Health Services:
Children’s Family Treatment and Support Services:
Additional services for members under 21
New services for members under 21
Children’s Home and Community Based Services (HCBS):
Crisis Residence Services for Children and Adults
Core Services
Dental Implants:
Gambling Disorder Treatment Provided by Office of Addiction Services and Supports (OASAS) Certified Programs:
Harm Reduction Services:
Infertility Services Benefit:
Medically Tailored Home Delivered Meals – UPDATED 2023
Member Notices: English/ Spanish
Member Handbook Update: English / Spanish
Medically Tailored Home Delivered Meals – UPDATED 2022
Medically Tailored Home Delivered Meals
National Diabetes Prevention Program (NDPP) Services:
Pharmacy Co-Pays:
Personal Care Services and Consumer Directed Personal Assistance Services (PCS/CDPAS): English/Spanish
Smoking Cessation Benefit
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:
April 2018: