Covered Benefits for All Children under 21
· Ambulance Services
· Certified Registered Nurse Practitioner Services
· Children’s Health Services (any kind of care that is medically necessary, including yearly checkups)
· Chiropractic Services
· Clinic Services
· Dental Services
· Diagnostic Services
· Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
· Eyeglasses
· Family Planning Services and Supplies
· Home Health Services
· Hospice Services
· Inpatient Hospital Services
· Inpatient and Outpatient Behavioral Health Services (Mental Health or Substance Abuse Treatment)
· Laboratory Tests
· Nursing Facility Services
· Occupational Therapy Services
· Optometrist services
· Outpatient Hospital Services
· Physical Therapy
· Physician Services
· Podiatrist Services
· Prescription Drugs
· Preventive Services
· Prosthetic Devices
· Radiology Services (x-rays, MRIs, CTs)
· Rehabilitative Services
· Renal Dialysis Services
· Screening Services
· Services Provided by School-Based Service Providers
· Speech, Hearing and Language Therapy Services
· Targeted Case Management Services
· Transportation Help
For additional information, such as prior authorizations or limitations, individuals may contact the MA MCO’s toll-free number on the back of the card. For Fee-For-Service information, contact the Fee-For-Service Recipient Service Center at 1-800-537-8862.
Updated March 12, 2021, Replacing February 14, 2012