Notice Date: September 25, 2024 To: Georgia D-SNP, Marketplace and Medicaid Providers From: CareSource Subject: ICD-10-CM Excludes1 Note Effective Date: October 1, 2024 Summary Beginning with claims processed on or after October 1, 2024, CareSource will apply claims editing logic related to Excludes1 notes from ICD-10-CM coding guidelines. To ensure accurate claims processing, providers are advised to review ICD-10-CM coding guidelines when selecting the most appropriate diagnosis for claims and to always code with the highest level of specificity. If a category level indication suggests that a code can be billed with another range of codes, it is crucial to check for Excludes1 notes that may prevent billi ng certain code combinations. Examples of Excludes1 rule violations include: The diagnosis code for "Bronchitis, not specified" (J40) has an Excludes1 note specifying that it should not be billed with "Acute bronchitis" (J20.- ); submitting both codes for a single encounter would violate the Excludes1 note and result in a denial. The diagnosis category for "Type 2 Diabetes" (E11.-) has an Excludes1 note indicating that it should not be billed with codes for "Gestational Diabetes" (O24.4-); submitting both codes for a single encounter would violate the Excludes1 note and result in a denial. Providers should review Excludes1 notes carefully to ensure compliance and avoid claim denials. Questions? Please contact Provider Services at 1-855-202-1058 with any questions. Hours of operation are Monday through Friday from 7 a.m. to 7 p.m. Eastern Time (ET) . GA-Multi-P-3229734 DCH Approved: 9/20/2024
BrokerBriefQ 3 20 24 CareSource has initiated a new co-branded partnership for 2025 on-exchange Marketplace business in Michigan with Health Alliance Plan called HAP CareSource! We are thrilled about this partnership and our expansion into the Michigan market. To ensure clarity amidst communications about conducting business in this new market, the CareSource team wishes to clarifyseveral points. You can continue to use your existing FMO relationship to sell HAP CareSource business. Your current CareSource agent contract covers you to sell HAP CareSource provided you hold the appropriate Michigan license. You need to request a MI state appointment before you are considered ready to sell in MI so please contact your FMO or send an email to salessupport@caresource.com to request that MI be added to your profile. You DO NOT need to recontract to sell HAP CareSource. If you havent heard about this new opportunity to sell in Michigan, we will discuss it at all our upcoming road shows across our markets. Please make every effort to attend or contact your current FMO. If you need assistance contacting your FMO, please reach out to your Broker Account Manager or the CareSource Sales Support team for more information. PY2025 DSNP Product Certification Access the training via our learning management systems (Litmos) here . CareSource now has a number for brokers to call to check an individuals Medicaid level and obtain Medicaid ID number if needed. Call 1-800-833-3239, 8am-8pm, 7 days a week during AEP. Were excited to share our upcoming DSNP plans for 2025, available in Georgia and Ohio! Thanks to your valuable feedback, weve made significant enhancements to our offerings and invested heavily to support these improvements. Heres a glimpse of whats new: Our top-tier Healthy Benefits card now includes rollovers and covers Utilities, Pet Care and Personal Care items. $0 copay for prescription drugs. Enhanced dental coverage with both Preventive and Comprehensive allowances. Unlimited transportation benefits. $255 monthly healthy benefits card in Ohio and $215 monthly healthy benefits card in Georgia now includes rollovers, covers utilities, pet care and personal care items. $0 copays on prescriptions drugs. $6,000 dental coverage in Ohio and $4,000 dental coverage in Georgia shared annual preventive and comprehensive allowance. Unlimited transportation benefits to health care visits, renewal appointments with job and family services, pharmacy, gym and grocery store. Vision benefits allowance per year toward eyeglasses, $600 in Ohio and $500 in Georgia. Multi-Multi-B-2099402-V.6 Diabetes Plan On the pharmacy benefit, we include two continuous glucose monitors (CGMs) in our preferred brand tier Dexcom and Freestyle Libre. Both of these require a prior authorization and will be approved for members with type 1 diabetes or members with type 2 diabetes who are using insulin. The cost-share for tier 2 depends on the plan. Both of these CGMs are also available for a $0 cost-share on the diabetic silver & gold plans; however, the prior authorization requirement/criteria still apply.Be on the lookout! Virtual Heat Map presentations invites for all markets except NC will be coming your way late September. The Heat Maps will be held mid-October.Broker Portal Search Trick When searching for a member on the book of business card by last name, be sure to include an asterisk before and after the name. Example: *Name*Marketplace Compliance: FAQ: 2024 Payment Notice Requirements Consent and Eligibility documentation requirements-CMS Model Consent Form for Marketplace Agents and Brokers Frequently Asked Questions: Social Security Numbers CMS Statement on System Changes to Stop Unauthorized Agent and Broker Marketplace Activity Medicare ComplianceSEP rules for individuals affected by an emergency or major disaster declared by a Federal, State or local government entity. The SEP ends two (2) full calendar months following the end date identified in the declaration or, if different, the date the end of the incident is announced or the date the incident automatically ends under applicable state or local law. If the incident end date of an emergency or major disaster is not otherwise identified, the incident end date is one (1) year after the SEP start date, or, if applicable, the date of a renewal or extension of the emergency or disaster declaration whichever is later. The maximum length of this SEP if the incident end date is not otherwise identified is 14 full calendar months after the SEP start date or, if applicable, the date of a renewal or extension of the emergency or disaster declaration. Individuals who move within the service area of their current plan and have new Medicare health or drug plan options available to them, as well as to those who are not currently enrolled in a Medicare health or drug plan to move and have new plan options available to them. An individual is considered to be temporarily absent from the plan service area when any one or more of the required materials and content referenced in 422.2267(e) and 423.2267(e) if provided by mail is returned by the United States Postal Service as undeliverable and a forwarding address is not provided. Extension of the timeframe for an individual to elect MA when first eligible. Specifically, the rule allows an individual who newly enrolls in Part A and/or Part Bbeyond their initial Medicare enrollment period to elect to join an MA plan up to two (2) months after the date they have both Part A and Part Bcoverage. Currently, a person who does not elect MA before the effective date of their Part A and Bcoverage generally must wait until the next enrollment period that is available to them to make an MA election. Codification of existing manual guidance on an authorized representative making an MA election on behalf of a beneficiary or enrollee. Specifies that an authorized representative is one with state-issued legal authority to act and make health care decisions on behalf of the beneficiary. The rule adds new paragraphs 422.60(i) and 423.32(j). Personal beneficiary data may only be shared for marketing or enrollment purposes only if written consent is obtained from the relevant beneficiary. Consent is needed for each marketing and enrollment interaction. Effective October 1, 2024, this includes data collected prior to October 1, 2024.
Notice Date: September 24, 2024 To: Michigan Medicaid Providers From: HAP CareSource Subject: Benefits of Our Pharmacy Partnership Summary HAP CareSource Pharmacy uses the Express Scripts pharmacy network as its partner to process pharmacy claims. In our pharmacy approach to administer benefits and services, we offer: A local pharmacy network for convenient access to medications. Availability of 90-day refills for increased medication adherence. An integrated, industry-leading data platform driving real time opportunities to improve member health outcomes and lower costs. Questions? To learn more about our pharmacy program and partnership, check out HAPCareSource.com . HAP CareSource knows health care works better when everyone works together! MI-MED-P-3177102
Market ProgramDiagnosisProcedure Decision Decision Reason ProviderSpecialtyAR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorder97151Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorderH2016Approved Personal Care AR MedicaidF840-Autistic disorderE1399Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97530Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97530Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97151Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97153Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97156Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97155Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97154Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder92507Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderL1945Approved Supplier Prosthetic/Orthotic AR MedicaidF840-Autistic disorderL2280Approved Supplier Prosthetic/Orthotic AR MedicaidF840-Autistic disorderL2820Approved Supplier Prosthetic/Orthotic AR MedicaidF840-Autistic disorderL3216Approved Supplier Prosthetic/Orthotic AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT2020Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderT2028Approved Durable Medical Equipment AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorder97151Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorder97153Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorder97155Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorder97153Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97151Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97155Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97156Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97151Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97153Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97155Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97156Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderE2510Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE2599Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorder97530Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97530Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorderS5160Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderS5161Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderS5162Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97153Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorder97155Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderE1399Approved Durable Medical Equipment AR MedicaidF840-Autistic disorder97151Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97151Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97151Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97153Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97155Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97156Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97153Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97151Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97155Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97156Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorderS5165Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT2025Approved ACS W-Org Hlth Care Deliv Sys AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97155Approved Children Intensive Behavioral AR MedicaidF840-Autistic disorder97154Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97530Approved Therapy PT, OT, SLP AR MedicaidF840-Autistic disorderOTApproved Therapy PT, OT, SLP AR MedicaidF840-Autistic disorderT2028Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97530Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorder97530Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderE1234Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderK0040Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE2293Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE2292Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE2231Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE0973Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE0950Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE1028Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE0951Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE0960Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE0978Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderK0108Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE0955Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE0971Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE1399Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderS5161Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderT2025Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderT2025Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorder97156Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97154Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorder97151Approved Multi-Specialty Group AR MedicaidF840-Autistic disorder97156Approved Multi-Specialty Group AR MedicaidF840-Autistic disorder97153Approved Multi-Specialty Group AR MedicaidF840-Autistic disorder97155Approved Multi-Specialty Group AR MedicaidF840-Autistic disorderH2016Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderH2016Approved Outpt Behav Hlth Agency AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97152Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorder97151Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97153Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97156Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97155Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorderT2025Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderS5161Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderADPSApproved W-Out of Home Respite AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorderE2510Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderE2599Approved Durable Medical Equipment AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderSUSSApproved Early Int. Day Tmt (EIDT) AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderSUSSApproved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorder97151Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder92507Approved Early Int. Day Tmt (EIDT) AR MedicaidF840-Autistic disorder92507Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorder92507Approved Physical Therapy & Rehab AR MedicaidF840-Autistic disorderT1019Approved Personal Care AR MedicaidF840-Autistic disorder96130Approved Psychology (PhD) AR MedicaidF840-Autistic disorder96131Approved Psychology (PhD) AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved Licensed Behavioral Analyst AR MedicaidF840-Autistic disorderH2016Approved W-Out of Home Respite AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF840-Autistic disorderH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesT2025Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesT2025Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilities97110Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesH2016Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesT2025Approved Adult Dev Day Tmt (ADDT) AR MedicaidF70-Mild intellectual disabilitiesT2025Approved W-Out of Home Respite AR MedicaidF70-Mild intellectual disabilitiesSLMNApproved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities SLMN Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities T1019 Approved Personal Care AR Medicaid F70-Mild intellectual disabilities SLMN Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities T2025 Approved Supported Employment AR Medicaid F70-Mild intellectual disabilities H2016 Approved Supported Employment AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F70-Mild intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities SUSS Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2020 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F70-Mild intellectual disabilities SUSS Approved Base Level Providers AR Medicaid M2141-Flat foot [pes planus] (acquired), right foot L3000 Approved Supplier Prosthetic/Orthotic AR Medicaid F4310-Post-traumatic stress disorder, unspecified OV Approved Outpt Behav Hlth Agency AR Medicaid F4323-Adjustment disorder with mixed anxiety and depressed mood OV Approved Mental Health AR Medicaid F250-Schizoaffective disorder, bipolar type OV Approved Outpt Behav Hlth Agency AR Medicaid F3289-Other specified depressive episode OV Approved Outpt Behav Hlth Agency AR Medicaid F341-Dysthymic disorder CYSS Approved Outpt Behav Hlth Agency AR Medicaid F209-Schizophrenia, unspecified ARDS Approved Outpt Behav Hlth Agency AR Medicaid F332-Major depressive disorder, recurrent severe without psychotic features ARDS Approved Outpt Behav Hlth Agency AR Medicaid F329-Major depressive disorder, single episode, unspecified 90791 Approved Masters Level Clinicians AR Medicaid M461-Sacroiliitis, not elsewhere classified 64625 Approved Ambulatory Surgical Center AR Medicaid C716-Malignant neoplasm of cerebellum H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid C716-Malignant neoplasm of cerebellum T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid C716-Malignant neoplasm of cerebellum H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Q052-Lumbar spina bifida with hydrocephalus S9123 Approved Home Health Agency AR Medicaid Q052-Lumbar spina bifida with hydrocephalus S9124 Approved Home Health Agency AR Medicaid R112-Nausea with vomiting, unspecified 43235 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43236 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43239 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43243 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43245 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43246 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43247 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43248 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43249 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified 43250 Approved Hospital/Critical Access AR Medicaid R112-Nausea with vomiting, unspecified OPAS Approved Hospital/Critical Access AR Medicaid F3481-Disruptive mood dysregulation diso 90791 Approved Outpt Behav Hlth Agency AR Medicaid F901-Attention-deficit hyperactivity disorder, predominantly hyperactive type 90791 Approved Lic Pro Clinical Cnslr LPCC AR Medicaid F3481-Disruptive mood dysregulation diso H2020 Approved Outpt Behav Hlth Agency AR Medicaid F71-Moderate intellectual disabilities T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F3481-Disruptive mood dysregulation diso OV Approved Outpt Behav Hlth Agency AR Medicaid H66003-Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral OPAS Approved Ambulatory Surgical Center AR Medicaid H66003-Acute suppurative otitis media without spontaneous rupture of ear drum, bilateral 69205 Approved Ambulatory Surgical Center AR Medicaid F900-Attention-deficit hyperactivity disorder, predominantly inattentive type 90792 Approved Outpt Behav Hlth Agency AR Medicaid F4320-Adjustment disorder, unspecified 90792 Approved Outpt Behav Hlth Agency AR Medicaid J45909-Unspecified asthma, uncomplicated 94726 Approved Hospital/Critical Access AR Medicaid F902-Attention-deficit hyperactivity disorder, combined type OV Approved Outpt Behav Hlth Agency AR Medicaid D2111-Benign neoplasm of connective and other soft tissue of right upper limb, including shoulder 11403 Approved Hospital/Critical Access AR Medicaid D2111-Benign neoplasm of connective and other soft tissue of right upper limb, including shoulder 12032 Approved Hospital/Critical Access AR Medicaid R45851-Suicidal ideations A0429 Approved Ambulance Land AR Medicaid R45851-Suicidal ideations A0425 Approved Ambulance Land AR Medicaid F3481-Disruptive mood dysregulation diso OV Approved Masters Level Clinicians AR Medicaid F919-Conduct disorder, unspecified OV Approved Masters Level Clinicians AR Medicaid Q909-Down syndrome, unspecified S5162 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F3481-Disruptive mood dysregulation diso BHAS Approved Outpt Behav Hlth Agency AR Medicaid Q1381-Rieger's anomaly 97530 Approved Therapy PT, OT, SLP AR Medicaid Q1381-Rieger's anomaly 97110 Approved Therapy PT, OT, SLP AR Medicaid Q1381-Rieger's anomaly 92507 Approved Therapy PT, OT, SLP AR Medicaid Q1381-Rieger's anomaly PT Approved Therapy PT, OT, SLP AR Medicaid Q1381-Rieger's anomaly ST Approved Therapy PT, OT, SLP AR Medicaid Q1381-Rieger's anomaly OT Approved Therapy PT, OT, SLP AR Medicaid F3481-Disruptive mood dysregulation diso OV Approved Masters Level Clinicians AR Medicaid M4145-Neuromuscular scoliosis, thoracolumbar region L0482 Approved Supplier Prosthetic/Orthotic AR Medicaid F209-Schizophrenia, unspecified TCLI Approved Outpt Behav Hlth Agency AR Medicaid F3481-Disruptive mood dysregulation diso 90791 Approved Outpt Behav Hlth Agency AR Medicaid F4325-Adjustment disorder with mixed disturbance of emotions and conduct 90791 Approved Outpt Behav Hlth Agency AR Medicaid F319-Bipolar disorder, unspecified TCL2 Approved Enhanced Level Providers AR Medicaid F209-Schizophrenia, unspecified TCL2 Approved Enhanced Level Providers AR Medicaid M5416-Radiculopathy, lumbar region EPI Approved Anesthesiology AR Medicaid M5416-Radiculopathy, lumbar region 62323 Approved Anesthesiology AR Medicaid F800-Phonological disorder 92507 Approved Speech Language Pathologist AR Medicaid F800-Phonological disorder ST Approved Speech Language Pathologist AR Medicaid F913-Oppositional defiant disorder OV Approved Outpt Behav Hlth Agency AR Medicaid F71-Moderate intellectual disabilities T2025 Approved ACS W-Org Hlth Care Deliv Sys AR Medicaid F82-Specific developmental disorder of motor function OT Approved Supplier Prosthetic/Orthotic AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Supplier Prosthetic/Orthotic AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Supplier Prosthetic/Orthotic AR Medicaid Z113-Encounter for screening for infections with a predominantly sexual mode of transmission 87591 Approved OB/GYN AR Medicaid Z113-Encounter for screening for infections with a predominantly sexual mode of transmission 87491 Approved OB/GYN AR Medicaid Z113-Encounter for screening for infections with a predominantly sexual mode of transmission 87561 Approved OB/GYN AR Medicaid F3481-Disruptive mood dysregulation diso OV Approved Masters Level Clinicians AR Medicaid F4325-Adjustment disorder with mixed disturbance of emotions and conduct OV Approved Masters Level Clinicians AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid G809-Cerebral palsy, unspecified T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid G809-Cerebral palsy, unspecified T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Q059-Spina bifida, unspecified 97110 Approved Therapy PT, OT, SLP AR Medicaid Q059-Spina bifida, unspecified 97110 Approved Therapy PT, OT, SLP AR Medicaid F331-Major depressive disorder, recurrent, moderate OV Approved Masters Level Clinicians AR Medicaid F902-Attention-deficit hyperactivity disorder, combined type 99214 Approved Psychiatry AR Medicaid F902-Attention-deficit hyperactivity disorder, combined type 90792 Approved Psychiatry AR Medicaid F71-Moderate intellectual disabilities T2025 Approved ACS W-Org Hlth Care Deliv Sys AR Medicaid Q909-Down syndrome, unspecified H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Q909-Down syndrome, unspecified H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Approved Early Int. Day Tmt (EIDT) AR Medicaid F4312-Post-traumatic stress disorder, chronic OV Approved Mental Health AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43235 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43239 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43250 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43251 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43255 Approved Ambulatory Surgical Center AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid M5416-Radiculopathy, lumbar region 97110 Approved Hospital/Critical Access AR Medicaid M5416-Radiculopathy, lumbar region PTO Approved Hospital/Critical Access AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Therapy PT, OT, SLP AR Medicaid F82-Specific developmental disorder of motor function OT Approved Therapy PT, OT, SLP AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Therapy PT, OT, SLP AR Medicaid M5481-Occipital neuralgia 20552 Approved Neurology AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid F902-Attention-deficit hyperactivity disorder, combined type OV Approved Psychology (PhD) AR Medicaid M47816-Spondylosis without myelopathy or radiculopathy, lumbar region 64493 Approved Ambulatory Surgical Center AR Medicaid M47816-Spondylosis without myelopathy or radiculopathy, lumbar region 64494 Approved Ambulatory Surgical Center AR Medicaid S83281A-Other tear of lateral meniscus, current injury, right knee, initial encounter OPAS Approved Ambulatory Surgical Center AR Medicaid S83281A-Other tear of lateral meniscus, current injury, right knee, initial encounter 29881 Approved Ambulatory Surgical Center AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Occupational Therapist AR Medicaid T161XXA-Foreign body in right ear, initial encounter OPAS Approved Ambulatory Surgical Center AR Medicaid T161XXA-Foreign body in right ear, initial encounter 69205 Approved Ambulatory Surgical Center AR Medicaid I10-Essential (primary) hypertension S9131 Approved Home Health Agency AR Medicaid F913-Oppositional defiant disorder OV Approved Outpt Behav Hlth Agency AR Medicaid F802-Mixed receptive-expressive language disorder 97530 Approved Speech Language Pathologist AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid F802-Mixed receptive-expressive language disorder OT Approved Speech Language Pathologist AR Medicaid F802-Mixed receptive-expressive language disorder ST Approved Speech Language Pathologist AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Approved Speech Language Pathologist AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood ST Approved Speech Language Pathologist AR Medicaid M461-Sacroiliitis, not elsewhere classified PAIN Approved Anesthesiology AR Medicaid M461-Sacroiliitis, not elsewhere classified 27096 Approved Anesthesiology AR Medicaid G47-Sleep disorders E0601 Approved Ventilator Equipment AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Occupational Therapist AR Medicaid F82-Specific developmental disorder of motor function OT Approved Occupational Therapist AR Medicaid F250-Schizoaffective disorder, bipolar type OV Approved Outpt Behav Hlth Agency AR Medicaid F71-Moderate intellectual disabilities S5160 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities S5161 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities S5162 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Q059-Spina bifida, unspecified 97530 Approved Therapy PT, OT, SLP AR Medicaid Q059-Spina bifida, unspecified 97530 Approved Therapy PT, OT, SLP AR Medicaid R620-Delayed milestone in childhood 97530 Approved Occupational Therapist AR Medicaid Z000-Encounter for general adult medical examination OFVS Approved Audiology AR Medicaid Z000-Encounter for general adult medical examination OV Approved Audiology AR Medicaid Z000-Encounter for general adult medical examination V5140 Approved Audiology AR Medicaid R4581-Low self-esteem A0428 Approved Ambulance Land AR Medicaid R4581-Low self-esteem A0425 Approved Ambulance Land AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid M47812-Spondylosis without myelopathy or radiculopathy, cervical region 64633 Approved Ambulatory Surgical Center AR Medicaid F4389-Other reactions to severe stress OV Approved Outpt Behav Hlth Agency AR Medicaid F4310-Post-traumatic stress disorder, unspecified OV Approved Outpt Behav Hlth Agency AR Medicaid Q780-Osteogenesis imperfecta E0465 Approved Ventilator Equipment AR Medicaid F411-Generalized anxiety disorder OV Approved Outpt Behav Hlth Agency AR Medicaid F918-Other conduct disorders OV Approved Outpt Behav Hlth Agency AR Medicaid F3481-Disruptive mood dysregulation diso OV Approved Outpt Behav Hlth Agency AR Medicaid R625-Other and unspecified lack of expected normal physiological development in childhood 92507 Approved Early Int. Day Tmt (EIDT) AR Medicaid J3503-Chronic tonsillitis and adenoiditis OPAS Approved Ambulatory Surgical Center AR Medicaid J3503-Chronic tonsillitis and adenoiditis 42821 Approved Ambulatory Surgical Center AR Medicaid R625-Other and unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid F71-Moderate intellectual disabilities T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid R625-Other and unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved Base Level Providers AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved Base Level Providers AR Medicaid F1120-Opioid dependence, uncomplicated 80307 Approved Multi-Specialty Group AR Medicaid F1120-Opioid dependence, uncomplicated 99211 Approved Multi-Specialty Group AR Medicaid F1120-Opioid dependence, uncomplicated 99212 Approved Multi-Specialty Group AR Medicaid F1120-Opioid dependence, uncomplicated 99213 Approved Multi-Specialty Group AR Medicaid F1120-Opioid dependence, uncomplicated 99214 Approved Multi-Specialty Group AR Medicaid F1120-Opioid dependence, uncomplicated 99215 Approved Multi-Specialty Group AR Medicaid R625-Other and unspecified lack of expected normal physiological development in childhood 92507 Approved Early Int. Day Tmt (EIDT) AR Medicaid M2141-Flat foot [pes planus] (acquired), right foot L3000 Approved Supplier Prosthetic/Orthotic AR Medicaid F989-Unspecified behavioral and emotional disorders with onset usually occurring in childhood and adolescence 97530 Approved Occupational Therapist AR Medicaid F209-Schizophrenia, unspecified TCL2 Approved Enhanced Level Providers AR Medicaid N1832-Chronic kidney disease, stage 3b S9131 Approved Home Health Agency AR Medicaid N1832-Chronic kidney disease, stage 3b T1021 Approved Home Health Agency AR Medicaid R197-Diarrhea, unspecified OFVS Approved Adv. Practice Reg. Nurse AR Medicaid R197-Diarrhea, unspecified OV Approved Adv. Practice Reg. Nurse AR Medicaid R197-Diarrhea, unspecified 99211 Approved Adv. Practice Reg. Nurse AR Medicaid R197-Diarrhea, unspecified 99212 Approved Adv. Practice Reg. Nurse AR Medicaid R197-Diarrhea, unspecified 99213 Approved Adv. Practice Reg. Nurse AR Medicaid R197-Diarrhea, unspecified 99214 Approved Adv. Practice Reg. Nurse AR Medicaid R197-Diarrhea, unspecified 99215 Approved Adv. Practice Reg. Nurse AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid F72-Severe intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F72-Severe intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid G809-Cerebral palsy, unspecified K0108 Approved Supplier Prosthetic/Orthotic AR Medicaid G809-Cerebral palsy, unspecified K0739 Approved Supplier Prosthetic/Orthotic AR Medicaid M5450-Low back pain, unspecified L0631 Approved Supplier Prosthetic/Orthotic AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Occupational Therapist AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Occupational Therapist AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Approved Occupational Therapist AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F209-Schizophrenia, unspecified TCLI Approved Outpt Behav Hlth Agency AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid R620-Delayed milestone in childhood 97530 Approved Occupational Therapist AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid J353-Hypertrophy of tonsils with hypertrophy of adenoids 42821 Approved Ambulatory Surgical Center AR Medicaid J353-Hypertrophy of tonsils with hypertrophy of adenoids OPAS Approved Ambulatory Surgical Center AR Medicaid F250-Schizoaffective disorder, bipolar type TCLI Approved Outpt Behav Hlth Agency AR Medicaid F250-Schizoaffective disorder, bipolar type TCLI Approved Enhanced Level Providers AR Medicaid F329-Major depressive disorder, single episode, unspecified TCL2 Approved Enhanced Level Providers AR Medicaid I10-Essential (primary) hypertension OFVS Approved General Practice AR Medicaid I10-Essential (primary) hypertension OV Approved General Practice AR Medicaid I10-Essential (primary) hypertension 99214 Approved General Practice AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Approved Therapy PT, OT, SLP AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97110 Approved Therapy PT, OT, SLP AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97110 Approved Therapy PT, OT, SLP AR Medicaid G809-Cerebral palsy, unspecified 97530 Approved Occupational Therapist AR Medicaid G809-Cerebral palsy, unspecified 97110 Approved Occupational Therapist AR Medicaid G809-Cerebral palsy, unspecified 92507 Approved Occupational Therapist AR Medicaid G809-Cerebral palsy, unspecified OT Approved Occupational Therapist AR Medicaid G809-Cerebral palsy, unspecified PT Approved Occupational Therapist AR Medicaid G809-Cerebral palsy, unspecified ST Approved Occupational Therapist AR Medicaid F71-Moderate intellectual disabilities T2025 Approved ACS W-Org Hlth Care Deliv Sys AR Medicaid F79-Unspecified intellectual disabilities T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F79-Unspecified intellectual disabilities T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F250-Schizoaffective disorder, bipolar type TCL2 Approved Enhanced Level Providers AR Medicaid M2141-Flat foot [pes planus] (acquired), right foot L3000 Approved Supplier Prosthetic/Orthotic AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97110 Approved EPSDT-Early Per Scr,Diag,Treat AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood PT Approved EPSDT-Early Per Scr,Diag,Treat AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97110 Approved EPSDT-Early Per Scr,Diag,Treat AR Medicaid M9904-Segmental and somatic dysfunction of sacral region 98942 Approved Chiropractor AR Medicaid F71-Moderate intellectual disabilities T2025 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F802-Mixed receptive-expressive language disorder 97110 Approved Adult Dev Day Tmt (ADDT) AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97110 Approved Therapy PT, OT, SLP AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood PT Approved Therapy PT, OT, SLP AR Medicaid M9905-Segmental and somatic dysfunction of pelvic region OFVS Approved Chiropractor AR Medicaid M9905-Segmental and somatic dysfunction of pelvic region CHRO Approved Chiropractor AR Medicaid M9905-Segmental and somatic dysfunction of pelvic region 98940 Approved Chiropractor AR Medicaid M9905-Segmental and somatic dysfunction of pelvic region 98941 Approved Chiropractor AR Medicaid M9905-Segmental and somatic dysfunction of pelvic region 98942 Approved Chiropractor AR Medicaid R620-Delayed milestone in childhood 97530 Approved EPSDT-Early Per Scr,Diag,Treat AR Medicaid R620-Delayed milestone in childhood OTO Approved EPSDT-Early Per Scr,Diag,Treat AR Medicaid F315-Bipolar disorder, current episode depressed, severe, with psychotic features TCL2 Approved Enhanced Level Providers AR Medicaid R45851-Suicidal ideations A0428 Approved Ambulance Land AR Medicaid R45851-Suicidal ideations A0425 Approved Ambulance Land AR Medicaid J9611-Chronic respiratory failure with hypoxia B4161 Approved Ventilator Equipment AR Medicaid J9611-Chronic respiratory failure with hypoxia B4035 Approved Ventilator Equipment AR Medicaid J9611-Chronic respiratory failure with hypoxia B4087 Approved Ventilator Equipment AR Medicaid J9611-Chronic respiratory failure with hypoxia B9998 Approved Ventilator Equipment AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid F88-Other disorders of psychological development 97530 Approved Occupational Therapist AR Medicaid R45851-Suicidal ideations TCLI Approved Enhanced Level Providers AR Medicaid H5581-Saccadic eye movements 92065 Approved Optometry AR Medicaid H5581-Saccadic eye movements 92065 Approved Optometry AR Medicaid J351-Hypertrophy of tonsils OPAS Approved Ambulatory Surgical Center AR Medicaid J351-Hypertrophy of tonsils 42825 Approved Ambulatory Surgical Center AR Medicaid J441-Chronic obstructive pulmonary disease with (acute) exacerbation T1021 Approved Home Health Agency AR Medicaid R45850-Homicidal ideations A0428 Approved Ambulance Land AR Medicaid R45850-Homicidal ideations A0425 Approved Ambulance Land AR Medicaid G800-Spastic quadriplegic cerebral palsy ADPS Approved Adult Dev Day Tmt (ADDT) AR Medicaid Q9351-Angelman syndrome 97110 Approved Early Int. Day Tmt (EIDT) AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid R625-Other and unspecified lack of expected normal physiological development in childhood 92507 Approved Early Int. Day Tmt (EIDT) AR Medicaid G809-Cerebral palsy, unspecified SUSS Approved Adult Dev Day Tmt (ADDT) AR Medicaid R296-Repeated falls 97110 Approved Therapy PT, OT, SLP AR Medicaid R296-Repeated falls PT Approved Therapy PT, OT, SLP AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Speech Language Pathologist AR Medicaid F82-Specific developmental disorder of motor function OT Approved Speech Language Pathologist AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Occupational Therapist AR Medicaid M6281-Muscle weakness (generalized) 97110 Approved Speech Language Pathologist AR Medicaid M6281-Muscle weakness (generalized) PT Approved Speech Language Pathologist AR Medicaid F4312-Post-traumatic stress disorder, chronic H2020 Approved Outpt Behav Hlth Agency AR Medicaid Z01818-Encounter for other preprocedural examination OFVS Approved Plastic Surgery AR Medicaid Z01818-Encounter for other preprocedural examination OV Approved Plastic Surgery AR Medicaid Z01818-Encounter for other preprocedural examination 99212 Approved Plastic Surgery AR Medicaid Z01818-Encounter for other preprocedural examination 99213 Approved Plastic Surgery AR Medicaid M47897-Other spondylosis, lumbosacral region 64635 Approved Ambulatory Surgical Center AR Medicaid M47897-Other spondylosis, lumbosacral region 64636 Approved Ambulatory Surgical Center AR Medicaid F804-Speech and language development delay due to hearing loss 92507 Approved Adult Dev Day Tmt (ADDT) AR Medicaid M2141-Flat foot [pes planus] (acquired), right foot L3000 Approved Supplier Prosthetic/Orthotic AR Medicaid F72-Severe intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid N1831-Chronic kidney disease, stage 3a OFVS Approved Internal Medicine AR Medicaid N1831-Chronic kidney disease, stage 3a OV Approved Internal Medicine AR Medicaid N1831-Chronic kidney disease, stage 3a 99215 Approved Internal Medicine AR Medicaid F321-Major depressive disorder, single episode, moderate H2020 Approved Outpt Behav Hlth Agency AR Medicaid M75121-Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic 97110 Approved Hospital/Critical Access AR Medicaid M75121-Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic 97150 Approved Hospital/Critical Access AR Medicaid M75121-Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic PT Approved Hospital/Critical Access AR Medicaid Q909-Down syndrome, unspecified SUSS Approved Adult Dev Day Tmt (ADDT) AR Medicaid M2141-Flat foot [pes planus] (acquired), right foot L3000 Approved Supplier Prosthetic/Orthotic AR Medicaid M47816-Spondylosis without myelopathy or radiculopathy, lumbar region E0730 Approved Physical Medicine & Rehab AR Medicaid F3481-Disruptive mood dysregulation diso H2020 Approved Outpt Behav Hlth Agency AR Medicaid F4325-Adjustment disorder with mixed disturbance of emotions and conduct 90791 Approved Outpt Behav Hlth Agency AR Medicaid R45850-Homicidal ideations A0428 Approved Ambulance Land AR Medicaid R45850-Homicidal ideations A0425 Approved Ambulance Land AR Medicaid R45850-Homicidal ideations A0428 Approved Ambulance Land AR Medicaid R45850-Homicidal ideations A0425 Approved Ambulance Land AR Medicaid J3503-Chronic tonsillitis and adenoiditis OPAS Approved Ambulatory Surgical Center AR Medicaid J3503-Chronic tonsillitis and adenoiditis 42820 Approved Ambulatory Surgical Center AR Medicaid Q909-Down syndrome, unspecified 97110 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Q909-Down syndrome, unspecified 97530 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Q909-Down syndrome, unspecified 92507 Approved Adult Dev Day Tmt (ADDT) AR Medicaid J9611-Chronic respiratory failure with hypoxia S9123 Approved Home Health Agency AR Medicaid J9611-Chronic respiratory failure with hypoxia S9124 Approved Home Health Agency AR Medicaid F250-Schizoaffective disorder, bipolar type TCLI Approved Adv. Practice Reg. Nurse AR Medicaid F209-Schizophrenia, unspecified TCL2 Approved Enhanced Level Providers AR Medicaid F209-Schizophrenia, unspecified TCLI Approved Adv. Practice Reg. Nurse AR Medicaid R1312-Dysphagia, oropharyngeal phase B4160 Approved Home Infusion AR Medicaid R1312-Dysphagia, oropharyngeal phase B4035 Approved Home Infusion AR Medicaid F209-Schizophrenia, unspecified TCLI Approved Enhanced Level Providers AR Medicaid F250-Schizoaffective disorder, bipolar type TCLI Approved Enhanced Level Providers AR Medicaid F88-Other disorders of psychological development T4530 Approved W-Home Medical Equipment AR Medicaid F88-Other disorders of psychological development T4532 Approved W-Home Medical Equipment AR Medicaid F88-Other disorders of psychological development A4554 Approved W-Home Medical Equipment AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved Base Level Providers AR Medicaid F79-Unspecified intellectual disabilities T2025 Approved Base Level Providers AR Medicaid F79-Unspecified intellectual disabilities SUSS Approved Base Level Providers AR Medicaid G80-Cerebral palsy 97110 Approved Therapy PT, OT, SLP AR Medicaid G80-Cerebral palsy 97110 Approved Therapy PT, OT, SLP AR Medicaid F329-Major depressive disorder, single episode, unspecified TCL2 Approved Enhanced Level Providers AR Medicaid F312-Bipolar disorder, current episode manic severe with psychotic features TCL2 Approved Enhanced Level Providers AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Z4800-Encounter for change or removal of nonsurgical wound dressing 99203 Approved Adv. Practice Reg. Nurse AR Medicaid Z4800-Encounter for change or removal of nonsurgical wound dressing 99214 Approved Adv. Practice Reg. Nurse AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Therapy PT, OT, SLP AR Medicaid M47817-Spondylosis without myelopathy or radiculopathy, lumbosacral region L0650 Approved Family Practice AR Medicaid F71-Moderate intellectual disabilities T2025 Approved ACS W-Org Hlth Care Deliv Sys AR Medicaid F209-Schizophrenia, unspecified OV Approved Outpt Behav Hlth Agency AR Medicaid Q052-Lumbar spina bifida with hydrocephalus S9123 Approved Home Health Agency AR Medicaid Q052-Lumbar spina bifida with hydrocephalus S9124 Approved Home Health Agency AR Medicaid G243-Spasmodic torticollis 64616 Approved Physical Medicine & Rehab AR Medicaid F251-Schizoaffective disorder, depressive type ARDS Approved Masters Level Clinicians AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved Mental Health Clinic AR Medicaid G40909-Epilepsy, unspecified, not intractable, without status epilepticus S9123 Approved Home Health Agency AR Medicaid G40909-Epilepsy, unspecified, not intractable, without status epilepticus S9124 Approved Home Health Agency AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Occupational Therapist AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Approved Early Int. Day Tmt (EIDT) AR Medicaid F319-Bipolar disorder, unspecified 90791 Approved Psychology (PhD) AR Medicaid F319-Bipolar disorder, unspecified 96130 Approved Psychology (PhD) AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Therapy PT, OT, SLP AR Medicaid F71-Moderate intellectual disabilities T2025 Approved ACS W-Org Hlth Care Deliv Sys AR Medicaid F4325-Adjustment disorder with mixed disturbance of emotions and conduct BHAS Approved Outpt Behav Hlth Agency AR Medicaid F4324-Adjustment disorder with disturbance of conduct BHAS Approved Outpt Behav Hlth Agency AR Medicaid G40-Epilepsy and recurrent seizures K0108 Approved Adult Dev Day Tmt (ADDT) AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings 92065 Approved Optometry AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 97530 Approved Early Int. Day Tmt (EIDT) AR Medicaid K029-Dental caries, unspecified OPAS Approved Ambulatory Surgical Center AR Medicaid K029-Dental caries, unspecified 41899 Approved Ambulatory Surgical Center AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 92507 Approved Early Int. Day Tmt (EIDT) AR Medicaid F802-Mixed receptive-expressive language disorder 92507 Approved Speech Language Pathologist AR Medicaid F802-Mixed receptive-expressive language disorder ST Approved Speech Language Pathologist AR Medicaid R620-Delayed milestone in childhood 97530 Approved Occupational Therapist AR Medicaid R620-Delayed milestone in childhood OT Approved Occupational Therapist AR Medicaid M47897-Other spondylosis, lumbosacral region 64635 Approved Ambulatory Surgical Center AR Medicaid M47897-Other spondylosis, lumbosacral region 64636 Approved Ambulatory Surgical Center AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F82-Specific developmental disorder of motor function 92507 Approved Dev Rehab Svs AR Medicaid F82-Specific developmental disorder of motor function 97530 Approved Dev Rehab Svs AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F919-Conduct disorder, unspecified BHAS Approved Outpt Behav Hlth Agency AR Medicaid F72-Severe intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F71-Moderate intellectual disabilities H2016 Approved Adult Dev Day Tmt (ADDT) AR Medicaid F411-Generalized anxiety disorder H2020 Approved Outpt Behav Hlth Agency AR Medicaid J309-Allergic rhinitis, unspecified OFVS Approved Pediatrics AR Medicaid J309-Allergic rhinitis, unspecified OV Approved Pediatrics AR Medicaid J309-Allergic rhinitis, unspecified 99214 Approved Pediatrics AR Medicaid F3481-Disruptive mood dysregulation diso H0037 Approved INTENSIVE LEVEL PROVIDERS AR Medicaid F3481-Disruptive mood dysregulation diso 90792 Approved Outpt Behav Hlth Agency AR Medicaid F4324-Adjustment disorder with disturbance of conduct OV Approved Outpt Behav Hlth Agency AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43235 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43239 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43250 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43251 Approved Ambulatory Surgical Center AR Medicaid K219-Gastro-esophageal reflux disease without esophagitis 43255 Approved Ambulatory Surgical Center AR Medicaid K029-Dental caries, unspecified OPAS Approved Ambulatory Surgical Center AR Medicaid K029-Dental caries, unspecified 41899 Approved Ambulatory Surgical Center AR MedicaidK029-Dental caries, unspecified00170Approved Ambulatory Surgical Center ARMedicaid F82-Specific developmental disorder of motor function 97530 Approved Supplier Prosthetic/Orthotic ARMedicaid F82-Specific developmental disorder of motor function 97530 Approved Supplier Prosthetic/Orthotic ARMedicaid F431-Post-traumatic stress disorder (PTSD) H0037Approved INTENSIVE LEVEL PROVIDERS ARMedicaid M533-Sacrococcygeal disorders, not elsewhere classified PAIN Approved Ambulatory Surgical Center ARMedicaid M533-Sacrococcygeal disorders, not elsewhere classified 27096 Approved Ambulatory Surgical Center AR MedicaidF209-Schizophrenia, unspecifiedTCL2Approved Outpt Behav Hlth Agency ARMedicaid F4325-Adjustment disorder with mixed disturbance of emotions and conduct BHAS Approved Outpt Behav Hlth Agency ARMedicaid F4325-Adjustment disorder with mixed disturbance of emotions and conduct BHAS Approved Outpt Behav Hlth Agency ARMedicaid F79-Unspecified intellectual disabilities H2016Approved Adult Dev Day Tmt (ADDT) ARMedicaid F312-Bipolar disorder, current episode manic severe with psychotic features ARDS Approved Outpt Behav Hlth Agency ARMedicaid F79-Unspecified intellectual disabilities H2016Approved ACS W-Org Hlth Care Deliv Sys ARMedicaid F71-Moderate intellectual disabilities H2016Approved Adult Dev Day Tmt (ADDT) ARMedicaid F251-Schizoaffective disorder, depressive type ARDS Approved Outpt Behav Hlth Agency ARMedicaid F3164-Bipolar disorder, current episode mixed, severe, with psychotic features ARDS Approved Outpt Behav Hlth Agency ARMedicaid F8082-Social pragmatic communication dis 92523Approved Physical Therapy & Rehab ARMedicaid F8082-Social pragmatic communication dis 92507Approved Physical Therapy & Rehab ARMedicaid R6250-Unspecified lack of expected normal physiological development in childhood 97162 Approved Physical Therapy & Rehab ARMedicaid R6250-Unspecified lack of expected normal physiological development in childhood 97110 Approved Physical Therapy & Rehab ARMedicaid R6250-Unspecified lack of expected normal physiological development in childhood PT Approved Physical Therapy & Rehab ARMedicaid F71-Moderate intellectual disabilities STApproved Physical Therapy & Rehab ARMedicaid F71-Moderate intellectual disabilities 92507Approved Physical Therapy & Rehab AR MedicaidG808-Other cerebral palsy97530Approved Physical Therapy & Rehab AR MedicaidG808-Other cerebral palsyOTApproved Physical Therapy & Rehab AR MedicaidG808-Other cerebral palsy97530Approved Physical Therapy & Rehab ARMedicaid S7292XD-Unspecified fracture of left femur, subsequent encounter for closed fracture with routine healing 97161 Approved Physical Therapy & Rehab ARMedicaid S7292XD-Unspecified fracture of left femur, subsequent encounter for closed fracture with routine healing 97110 Approved Physical Therapy & Rehab ARMedicaid S7292XD-Unspecified fracture of left femur, subsequent encounter for closed fracture with routine healing 97116 Approved Physical Therapy & Rehab ARMedicaid S7292XD-Unspecified fracture of left femur, subsequent encounter for closed fracture with routine healing PT Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 92507 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 97530 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 92523 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 92610 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 97167 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 92526 Approved Physical Therapy & Rehab ARMedicaid M25672-Stiffness of left ankle, not elsewhere classified 97110 Approved Physical Therapy & Rehab AR MedicaidR620-Delayed milestone in childhood97110Approved Physical Therapy & Rehab AR MedicaidR620-Delayed milestone in childhoodPTApproved Physical Therapy & Rehab ARMedicaid F802-Mixed receptive-expressive language disorder OFVS Approved Physical Therapy & Rehab ARMedicaid F802-Mixed receptive-expressive language disorder OV Approved Physical Therapy & Rehab ARMedicaid F802-Mixed receptive-expressive language disorder 92507 Approved Physical Therapy & Rehab ARMedicaid F802-Mixed receptive-expressive language disorder ST Approved Physical Therapy & Rehab ARMedicaid M6281-Muscle weakness (generalized) 97110Approved Physical Therapy & Rehab ARMedicaid M6281-Muscle weakness (generalized) 97161Approved Physical Therapy & Rehab ARMedicaid M6281-Muscle weakness (generalized) PTApproved Physical Therapy & Rehab AR MedicaidM25552-Pain in left hip97010Approved Physical Therapy & Rehab AR MedicaidM25552-Pain in left hip97110Approved Physical Therapy & Rehab AR MedicaidM25552-Pain in left hip97140Approved Physical Therapy & Rehab AR MedicaidM25552-Pain in left hip97014Approved Physical Therapy & Rehab AR MedicaidM542-Cervicalgia97163Approved Physical Therapy & Rehab AR MedicaidM542-Cervicalgia97010Approved Physical Therapy & Rehab AR MedicaidM542-Cervicalgia97032Approved Physical Therapy & Rehab AR MedicaidM542-Cervicalgia97110Approved Physical Therapy & Rehab AR MedicaidM542-Cervicalgia97124Approved Physical Therapy & Rehab AR MedicaidM542-Cervicalgia97035Approved Physical Therapy & Rehab AR MedicaidR278-Other lack of coordination97110Approved Physical Therapy & Rehab AR MedicaidR278-Other lack of coordinationOTApproved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 97530 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 97530 Approved Physical Therapy & Rehab ARMedicaid F802-Mixed receptive-expressive language disorder 92507 Approved Physical Therapy & Rehab AR MedicaidF800-Phonological disorder92507Approved Physical Therapy & Rehab ARMedicaid F88-Other disorders of psychological development 92507 Approved Physical Therapy & Rehab ARMedicaid F802-Mixed receptive-expressive language disorder 92507 Approved Physical Therapy & Rehab AR MedicaidR620-Delayed milestone in childhood97110Approved Physical Therapy & Rehab AR MedicaidR620-Delayed milestone in childhoodPTApproved Physical Therapy & Rehab AR MedicaidM25262-Flail joint, left knee97110Approved Physical Therapy & Rehab AR MedicaidM25262-Flail joint, left kneePTApproved Physical Therapy & Rehab ARMedicaid R2689-Other abnormalities of gait and mobility 97530 Approved Physical Therapy & Rehab ARMedicaid R2689-Other abnormalities of gait and mobility PT Approved Physical Therapy & Rehab AR MedicaidQ909-Down syndrome, unspecified92507Approved Physical Therapy & Rehab AR MedicaidM25512-Pain in left shoulder97110Approved Physical Therapy & Rehab AR MedicaidQ909-Down syndrome, unspecified97530Approved Physical Therapy & Rehab AR MedicaidQ909-Down syndrome, unspecified97530Approved Physical Therapy & Rehab ARMedicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Approved Physical Therapy & Rehab ARMedicaid S143XXD-Injury of brachial plexus, subsequent encounter 97110 Approved Physical Therapy & Rehab ARMedicaid S143XXD-Injury of brachial plexus, subsequent encounter PT Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 97530 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function 97530 Approved Physical Therapy & Rehab ARMedicaid F82-Specific developmental disorder of motor function OT Approved Physical Therapy & Rehab ARMedicaid F439-Reaction to severe stress, unspecified 80361 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80361 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80363 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80363 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80365 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80365 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80356 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80356 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80354 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80354 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80346 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80346 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80353 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80353 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80325 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80325 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80359 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80359 Approved Laboratory AR Medicaid F439-Reaction to severe stress, unspecified 80348 Approved Laboratory AR Medicaid F419-Anxiety disorder, unspecified 80348 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80361 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80363 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80365 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80358 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80354 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80346 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80353 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80325 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80359 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80348 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80361 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80363 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80365 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80358 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80354 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80346 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80353 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80325 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80359 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80348 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80361 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80363 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80365 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80358 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80354 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80346 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80353 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80325 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80359 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80348 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80361 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80363 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80365 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80358 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80354 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80346 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80353 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80325 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80359 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80348 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80361 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80363 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80365 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80358 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80354 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80346 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80353 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80325 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80359 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80348 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80361 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80363 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80365 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80358 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80354 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80346 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80353 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80325 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80359 Approved Laboratory AR Medicaid F1220-Cannabis dependence, uncomplicated 80348 Approved Laboratory AR Medicaid G4089-Other seizures T1019 Approved Personal Care AR Medicaid M1380-Other specified arthritis, unspecified site T1019 Approved Personal Care AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood T1019 Approved Personal Care AR Medicaid H548-Legal blindness, as defined in USA T1019 Approved Personal Care AR Medicaid F4312-Post-traumatic stress disorder, chronic T1019 Approved Personal Care AR Medicaid F209-Schizophrenia, unspecified T1019 Approved Personal Care AR Medicaid Z980-Intestinal bypass and anastomosis status T1019 Approved Personal Care AR Medicaid S14105-Unspecified injury at C5 level of cervical spinal cord T1019 Approved Personal Care AR Medicaid R630-Anorexia T1019 Approved Personal Care AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood T1019 Approved Personal Care AR Medicaid E785-Hyperlipidemia, unspecified T1019 Approved Personal Care AR Medicaid F411-Generalized anxiety disorder T1019 Approved Personal Care AR Medicaid F909-Attention-deficit hyperactivity disorder, unspecified type T1019 Approved Personal Care AR Medicaid F909-Attention-deficit hyperactivity disorder, unspecified type T1019 Approved Personal Care AR Medicaid Q935-Other deletions of part of a chromosome T1019 Approved Personal Care AR Medicaid G809-Cerebral palsy, unspecified T1019 Approved Personal Care AR Medicaid F902-Attention-deficit hyperactivity disorder, combined type T1019 Approved Personal Care AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved Personal Care AR Medicaid I10-Essential (primary) hypertension T1019 Approved Personal Care AR Medicaid G40-Epilepsy and recurrent seizures T1019 Approved Personal Care AR Medicaid F319-Bipolar disorder, unspecified T1019 Approved Personal Care AR Medicaid I639-Cerebral infarction, unspecified T1019 Approved Personal Care AR Medicaid F79-Unspecified intellectual disabilities T1019 Approved Personal Care AR Medicaid M5126-Other intervertebral disc displacement, lumbar region T1019 Approved Personal Care AR Medicaid M4806-Spinal stenosis, lumbar region T1019 Approved Personal Care AR Medicaid F4312-Post-traumatic stress disorder, chronic T1019 Approved Personal Care AR Medicaid J449-Chronic obstructive pulmonary disease, unspecified T1019 Approved Personal Care AR Medicaid F983-Pica of infancy and childhood T1019 Approved Personal Care AR Medicaid F900-Attention-deficit hyperactivity disorder, predominantly inattentive type T1019 Approved Personal Care AR Medicaid F79-Unspecified intellectual disabilities T1019 Approved Personal Care AR Medicaid M15-Polyosteoarthritis T1019 Approved Personal Care AR Medicaid G894-Chronic pain syndrome T1019 Approved Personal Care AR Medicaid K5090-Crohn's disease, unspecified, without complications T1019 Approved Personal Care AR Medicaid G43909-Migraine, unspecified, not intractable, without status migrainosus T1019 Approved Personal Care AR Medicaid S062X9D-Diffuse traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounter T1019 Approved Personal Care AR Medicaid Q431-Hirschsprung's disease T1019 Approved Personal Care AR Medicaid F209-Schizophrenia, unspecified T1019 Approved Personal Care AR Medicaid F72-Severe intellectual disabilities T1019 Approved Personal Care AR Medicaid R4182-Altered mental status, unspecified T1019 Approved Personal Care AR Medicaid I10-Essential (primary) hypertension T1019 Approved Personal Care AR Medicaid J449-Chronic obstructive pulmonary disease, unspecified T1019 Approved Personal Care AR Medicaid G809-Cerebral palsy, unspecified T1019 Approved Personal Care AR Medicaid J449-Chronic obstructive pulmonary disease, unspecified T1019 Approved Personal Care AR Medicaid F209-Schizophrenia, unspecified T1019 Approved Personal Care AR Medicaid G800-Spastic quadriplegic cerebral palsy T1019 Approved Personal Care AR Medicaid G809-Cerebral palsy, unspecified T1019 Approved Personal Care AR Medicaid R569-Unspecified convulsions T1019 Approved Personal Care AR Medicaid F411-Generalized anxiety disorder T1019 Approved Personal Care AR Medicaid F250-Schizoaffective disorder, bipolar type T1019 Approved Personal Care AR Medicaid K551-Chronic vascular disorders of intestine T1019 Approved Personal Care AR Medicaid D869-Sarcoidosis, unspecified T1019 Approved Personal Care AR Medicaid G809-Cerebral palsy, unspecified T1019 Approved Personal Care AR Medicaid F82-Specific developmental disorder of motor function T1019 Approved Personal Care AR Medicaid F909-Attention-deficit hyperactivity disorder, unspecified type T1019 Approved Personal Care AR Medicaid F431-Post-traumatic stress disorder (PTSD) T1019 Approved Personal Care AR Medicaid F324-Major depressive disorder, single episode, in partial remission T1019 Approved Personal Care AR Medicaid G894-Chronic pain syndrome T1019 Approved Personal Care AR Medicaid M1991-Primary osteoarthritis, unspecified site T1019 Approved Personal Care AR Medicaid M4800-Spinal stenosis, site unspecified T1019 Approved Personal Care AR Medicaid F329-Major depressive disorder, single episode, unspecified T1019 Approved Personal Care AR Medicaid F259-Schizoaffective disorder, unspecified T1019 Approved Personal Care AR Medicaid Q431-Hirschsprung's disease T1019 Approved Personal Care AR Medicaid R3981-Functional urinary incontinence T1019 Approved Personal Care AR Medicaid G43909-Migraine, unspecified, not intractable, without status migrainosus T1019 Approved Personal Care AR Medicaid Q780-Osteogenesis imperfecta T1019 Approved Personal Care AR Medicaid E119-Type 2 diabetes mellitus without complications T1019 Approved Personal Care AR Medicaid Q046-Congenital cerebral cysts T1019 Approved Personal Care AR Medicaid G809-Cerebral palsy, unspecified T1019 Approved Personal Care AR Medicaid F315-Bipolar disorder, current episode depressed, severe, with psychotic features T1019 Approved Personal Care AR Medicaid Q059-Spina bifida, unspecified T1019 Approved Personal Care AR Medicaid Z87828-Personal history of other (healed) physical injury and trauma T1019 Approved Personal Care AR Medicaid F28-Other psychotic disorder not due to a substance or known physiological condition T1019 Approved Personal Care AR Medicaid F331-Major depressive disorder, recurrent, moderate T1019 Approved Personal Care AR Medicaid G809-Cerebral palsy, unspecified T1019 Approved Personal Care AR Medicaid F71-Moderate intellectual disabilities T1019 Approved Personal Care AR Medicaid Q046-Congenital cerebral cysts T1019 Approved Personal Care AR Medicaid E1043-Type 1 diabetes mellitus with diabetic autonomic (poly)neuropathy T1019 Approved Personal Care AR Medicaid F250-Schizoaffective disorder, bipolar type T1019 Approved Personal Care AR Medicaid F209-Schizophrenia, unspecified T1019 Approved Personal Care AR Medicaid R296-Repeated falls T1019 Approved Personal Care AR Medicaid D821-Di George's syndrome T1019 Approved Personal Care AR Medicaid I509-Heart failure, unspecified T1019 Approved Personal Care AR Medicaid F209-Schizophrenia, unspecified T1019 Approved Personal Care AR Medicaid G40-Epilepsy and recurrent seizures T1019 Approved Personal Care AR Medicaid J449-Chronic obstructive pulmonary disease, unspecified T1019 Approved Personal Care AR Medicaid I10-Essential (primary) hypertension T1019 Approved Personal Care AR Medicaid Q040-Congenital malformations of corpus callosum T1019 Approved Personal Care AR Medicaid F73-Profound intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F73-Profound intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified SLMN Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified CSTS Approved W-Out of Home Respite AR Medicaid G931-Anoxic brain damage, not elsewhere classified T2025 Approved W-Out of Home Respite AR Medicaid G931-Anoxic brain damage, not elsewhere classified H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified S5165 Approved W-Out of Home Respite AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood H2016 Approved W-Out of Home Respite AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood T2025 Approved W-Out of Home Respite AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified CSTS Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid S062X9D-Diffuse traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounter CSTS Approved W-Out of Home Respite AR Medicaid S062X9D-Diffuse traumatic brain injury with loss of consciousness of unspecified duration, subsequent encounter SLMN Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified T2020 Approved W-Out of Home Respite AR Medicaid R4183-Borderline intellectual functioning H2016 Approved W-Out of Home Respite AR Medicaid R4183-Borderline intellectual functioning T2025 Approved W-Out of Home Respite AR Medicaid Q90-Down syndrome T2025 Approved W-Out of Home Respite AR Medicaid Q90-Down syndrome H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified T2025 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified S5162 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified S5161 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified S5160 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid G808-Other cerebral palsy T2025 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F6381-Intermittent explosive disorder H2016 Approved W-Out of Home Respite AR Medicaid G40-Epilepsy and recurrent seizures T2025 Approved W-Out of Home Respite AR Medicaid G40-Epilepsy and recurrent seizures H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified T2025 Approved W-Out of Home Respite AR Medicaid Q158-Other specified congenital malformations of eye H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities SLEN Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G801-Spastic diplegic cerebral palsy H2016 Approved W-Out of Home Respite AR Medicaid G801-Spastic diplegic cerebral palsy H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid G931-Anoxic brain damage, not elsewhere classified H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F849-Pervasive developmental disorder, unspecified H2016 Approved W-Out of Home Respite AR Medicaid S06890A-Other specified intracranial injury without loss of consciousness, initial encounter H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G808-Other cerebral palsy H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G801-Spastic diplegic cerebral palsy H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid G40909-Epilepsy, unspecified, not intractable, without status epilepticus H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid G40319-Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid Q059-Spina bifida, unspecified H2016 Approved W-Out of Home Respite AR Medicaid Q059-Spina bifida, unspecified T2025 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified T2025 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified T2020 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified T2020 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified T2020 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified T2020 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities T2025 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified H2016 Approved W-Out of Home Respite AR Medicaid Q909-Down syndrome, unspecified T2025 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified T2025 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified T2025 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities S5160 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities S5161 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities S5162 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid M2154-Acquired clubfoot H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F71-Moderate intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F72-Severe intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid F438-Other reactions to severe stress H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid G808-Other cerebral palsy H2016 Approved W-Out of Home Respite AR Medicaid F72-Severe intellectual disabilities H2016 Approved W-Out of Home Respite AR Medicaid G809-Cerebral palsy, unspecified H2016 Approved W-Out of Home Respite AR Medicaid Q059-Spina bifida, unspecified H2016 Approved W-Out of Home Respite AR Medicaid F79-Unspecified intellectual disabilities T2028 Approved Durable Medical Equipment AR Medicaid F70-Mild intellectual disabilities T2028 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E1390 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E0430 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E0445 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E0600 Approved Durable Medical Equipment AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) E0601 Approved Durable Medical Equipment AR Medicaid R3981-Functional urinary incontinence T2028 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T2028 Approved Durable Medical Equipment AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) E0601 Approved Durable Medical Equipment AR Medicaid F82-Specific developmental disorder of motor function E2387 Approved Durable Medical Equipment AR Medicaid F82-Specific developmental disorder of motor function E2381 Approved Durable Medical Equipment AR Medicaid F82-Specific developmental disorder of motor function E2383 Approved Durable Medical Equipment AR Medicaid F82-Specific developmental disorder of motor function E2373 Approved Durable Medical Equipment AR Medicaid F82-Specific developmental disorder of motor function E1028 Approved Durable Medical Equipment AR Medicaid F82-Specific developmental disorder of motor function E2293 Approved Durable Medical Equipment AR Medicaid F82-Specific developmental disorder of motor function K0077 Approved Durable Medical Equipment AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) E0601 Approved Durable Medical Equipment AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) E0562 Approved Durable Medical Equipment AR Medicaid R1310-Dysphagia, unspecified B4161 Approved Durable Medical Equipment AR Medicaid R1310-Dysphagia, unspecified B9998 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T4532 Approved Durable Medical Equipment AR Medicaid F70-Mild intellectual disabilities T2028 Approved Durable Medical Equipment AR Medicaid F71-Moderate intellectual disabilities T2028 Approved Durable Medical Equipment AR Medicaid P271-Bronchopulmonary dysplasia originating in the perinatal period E1390 Approved Durable Medical Equipment AR Medicaid P271-Bronchopulmonary dysplasia originating in the perinatal period E0430 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T2028 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T2028 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy K0739 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy S1002 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0978 Approved Durable Medical Equipment AR Medicaid G801-Spastic diplegic cerebral palsy E0950 Approved Durable Medical Equipment AR Medicaid G121-Other inherited spinal muscular atrophy E0483 Approved Durable Medical Equipment AR Medicaid G121-Other inherited spinal muscular atrophy E0482 Approved Durable Medical Equipment AR Medicaid Q788-Other specified osteochondrodysplasias E2510 Approved Durable Medical Equipment AR Medicaid Q788-Other specified osteochondrodysplasias E2599 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E1035 Approved Durable Medical Equipment AR Medicaid Q780-Osteogenesis imperfecta E1390 Approved Durable Medical Equipment AR Medicaid Q780-Osteogenesis imperfecta E0430 Approved Durable Medical Equipment AR Medicaid Q780-Osteogenesis imperfecta E0445 Approved Durable Medical Equipment AR Medicaid Q780-Osteogenesis imperfecta E0600 Approved Durable Medical Equipment AR Medicaid Q780-Osteogenesis imperfecta E0465 Approved Durable Medical Equipment AR Medicaid Q780-Osteogenesis imperfecta E0600 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E1233 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy K0108 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E2231 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E2213 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy K0040 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0973 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0978 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0950 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0971 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E2622 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E2293 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E1028 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0955 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0956 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0960 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E1234 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome K0108 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E0990 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E0950 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E1028 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome K0105 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E2622 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E2293 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E0955 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E0956 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E0960 Approved Durable Medical Equipment AR Medicaid Q9351-Angelman syndrome E0978 Approved Durable Medical Equipment AR Medicaid K5900-Constipation, unspecified T4532 Approved Durable Medical Equipment AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) E0601 Approved Durable Medical Equipment AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) E0562 Approved Durable Medical Equipment AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) E1390 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified K0108 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified K0040 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified E0956 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified E2292 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified E2291 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified E0955 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified E1028 Approved Durable Medical Equipment AR Medicaid Q799-Congenital malformation of musculoskeletal system, unspecified K0105 Approved Durable Medical Equipment AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood K0739 Approved Durable Medical Equipment AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood E1399 Approved Durable Medical Equipment AR Medicaid E1165-Type 2 diabetes mellitus with hyperglycemia A4239 Approved Durable Medical Equipment AR Medicaid G319-Degenerative disease of nervous system, unspecified T4532 Approved Durable Medical Equipment AR Medicaid E1065-Type 1 diabetes mellitus with hyperglycemia A4239 Approved Durable Medical Equipment AR Medicaid E119-Type 2 diabetes mellitus without complications A4239 Approved Durable Medical Equipment AR Medicaid E1065-Type 1 diabetes mellitus with hyperglycemia A4239 Approved Durable Medical Equipment AR Medicaid Z87820-Personal history of traumatic brain injury T2028 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4535 Approved Durable Medical Equipment AR Medicaid E1065-Type 1 diabetes mellitus with hyperglycemia A4239 Approved Durable Medical Equipment AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings A4239 Approved Durable Medical Equipment AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings E2103 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4533 Approved Durable Medical Equipment AR Medicaid G801-Spastic diplegic cerebral palsy K0739 Approved Durable Medical Equipment AR Medicaid G801-Spastic diplegic cerebral palsy E1399 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T2028 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4524 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4524 Approved Durable Medical Equipment AR Medicaid S06890A-Other specified intracranial injury without loss of consciousness, initial encounter K0739 Approved Durable Medical Equipment AR Medicaid S06890A-Other specified intracranial injury without loss of consciousness, initial encounter E0956 Approved Durable Medical Equipment AR Medicaid S06890A-Other specified intracranial injury without loss of consciousness, initial encounter K0108 Approved Durable Medical Equipment AR Medicaid Q673-Plagiocephaly E1399 Approved Durable Medical Equipment AR Medicaid Q673-Plagiocephaly K0739 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence A4554 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4527 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T4526 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T2028 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E1390 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E0431 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E0445 Approved Durable Medical Equipment AR Medicaid G8250-Quadriplegia, unspecified K0739 Approved Durable Medical Equipment AR Medicaid G8250-Quadriplegia, unspecified K0108 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified E2386 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified K0019 Approved Durable Medical Equipment AR Medicaid G8250-Quadriplegia, unspecified K0739 Approved Durable Medical Equipment AR Medicaid G8250-Quadriplegia, unspecified K0108 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus K0077 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus K0739 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus E2206 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus K0108 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus E2611 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus K0040 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus E2211 Approved Durable Medical Equipment AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood B9998 Approved Durable Medical Equipment AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood B4035 Approved Durable Medical Equipment AR Medicaid J9610-Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia E0483 Approved Durable Medical Equipment AR Medicaid G8250-Quadriplegia, unspecified E1399 Approved Durable Medical Equipment AR Medicaid F842-Rett's syndrome E1031 Approved Durable Medical Equipment AR Medicaid F842-Rett's syndrome E1399 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence A4554 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4528 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4535 Approved Durable Medical Equipment AR Medicaid F71-Moderate intellectual disabilities T2028 Approved Durable Medical Equipment AR Medicaid L0591-Pilonidal cyst without abscess E2402 Approved Durable Medical Equipment AR Medicaid L0591-Pilonidal cyst without abscess A6550 Approved Durable Medical Equipment AR Medicaid L0591-Pilonidal cyst without abscess A7000 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus K0739 Approved Durable Medical Equipment AR Medicaid Q057-Lumbar spina bifida without hydrocephalus K0108 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0483 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4532 Approved Durable Medical Equipment AR Medicaid E840-Cystic fibrosis with pulmonary manifestations E0483 Approved Durable Medical Equipment AR Medicaid F79-Unspecified intellectual disabilities T2028 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T2028 Approved Durable Medical Equipment AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood T2028 Approved Durable Medical Equipment AR Medicaid Z931-Gastrostomy status E1036 Approved Durable Medical Equipment AR Medicaid F88-Other disorders of psychological development E0637 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T2028 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T2028 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T2028 Approved Durable Medical Equipment AR Medicaid R6250-Unspecified lack of expected normal physiological development in childhood B4160 Approved Durable Medical Equipment AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings T4532 Approved Durable Medical Equipment AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings T4535 Approved Durable Medical Equipment AR Medicaid G4700-Insomnia, unspecified E0601 Approved Durable Medical Equipment AR Medicaid G4700-Insomnia, unspecified E0562 Approved Durable Medical Equipment AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings B9998 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified E8001 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified K0108 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified K0739 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified T2028 Approved Durable Medical Equipment AR Medicaid F79-Unspecified intellectual disabilities T2028 Approved Durable Medical Equipment AR Medicaid R32-Unspecified urinary incontinence T4527 Approved Durable Medical Equipment AR Medicaid G800-Spastic quadriplegic cerebral palsy E0482 Approved Durable Medical Equipment AR Medicaid J9601-Acute respiratory failure with hypoxia E1390 Approved Durable Medical Equipment AR Medicaid J9601-Acute respiratory failure with hypoxia E1392 Approved Durable Medical Equipment AR Medicaid G809-Cerebral palsy, unspecified K0108 Approved Durable Medical Equipment AR Medicaid Q909-Down syndrome, unspecified E2510 Approved Durable Medical Equipment AR Medicaid H0012-Chalazion right lower eyelid 67700 Approved Hospital/Acute Care AR Medicaid J351-Hypertrophy of tonsils OPAS Approved Hospital/Acute Care AR Medicaid J351-Hypertrophy of tonsils 69436 Approved Hospital/Acute Care AR Medicaid J351-Hypertrophy of tonsils 42820 Approved Hospital/Acute Care AR Medicaid G4713-Recurrent hypersomnia 95810 Approved Hospital/Acute Care AR Medicaid Z0120-Encounter for dental examination and cleaning without abnormal findings OPAS Approved Hospital/Acute Care AR Medicaid Z0120-Encounter for dental examination and cleaning without abnormal findings 41899 Approved Hospital/Acute Care AR Medicaid Z0120-Encounter for dental examination and cleaning without abnormal findings 00170 Approved Hospital/Acute Care AR Medicaid G800-Spastic quadriplegic cerebral palsy 64643 Approved Hospital/Acute Care AR Medicaid G800-Spastic quadriplegic cerebral palsy 64645 Approved Hospital/Acute Care AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings 41899 Approved Hospital/Acute Care AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings 00170 Approved Hospital/Acute Care AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings 41899 Approved Hospital/Acute Care AR Medicaid Z0000-Encounter for general adult medical examination without abnormal findings 00170 Approved Hospital/Acute Care AR Medicaid I25110-Atherosclerotic heart disease of native coronary artery with unstable angina pectoris 93458 Approved Hospital/Acute Care AR Medicaid M5441-Lumbago with sciatica, right side 97110 Approved Hospital/Acute Care AR Medicaid M5441-Lumbago with sciatica, right side 97530 Approved Hospital/Acute Care AR Medicaid M5441-Lumbago with sciatica, right side 97116 Approved Hospital/Acute Care AR Medicaid M5441-Lumbago with sciatica, right side 97112 Approved Hospital/Acute Care AR Medicaid M5441-Lumbago with sciatica, right side 97140 Approved Hospital/Acute Care AR Medicaid C183-Malignant neoplasm of hepatic flexure OPAS Approved Hospital/Acute Care AR Medicaid C183-Malignant neoplasm of hepatic flexure 36561 Approved Hospital/Acute Care AR Medicaid K439-Ventral hernia without obstruction or gangrene OPAS Approved Hospital/Acute Care AR Medicaid K439-Ventral hernia without obstruction or gangrene 49591 Approved Hospital/Acute Care AR Medicaid K439-Ventral hernia without obstruction or gangrene 49592 Approved Hospital/Acute Care AR Medicaid K439-Ventral hernia without obstruction or gangrene 49593 Approved Hospital/Acute Care AR Medicaid K439-Ventral hernia without obstruction or gangrene 49594 Approved Hospital/Acute Care AR Medicaid K439-Ventral hernia without obstruction or gangrene 49595 Approved Hospital/Acute Care AR Medicaid K439-Ventral hernia without obstruction or gangrene 49596 Approved Hospital/Acute Care AR Medicaid H3540-Unspecified peripheral retinal degeneration 67145 Approved Hospital/Acute Care AR Medicaid M722-Plantar fascial fibromatosis 28250 Approved Hospital/Acute Care AR Medicaid K011-Impacted teeth 41899 Approved Hospital/Acute Care AR Medicaid R0683-Snoring 42820 Approved Hospital/Acute Care AR Medicaid R0683-Snoring OPAS Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral 69436 Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral OPAS Approved Hospital/Acute Care AR Medicaid K819-Cholecystitis, unspecified 47563 Approved Hospital/Acute Care AR Medicaid H903-Sensorineural hearing loss, bilateral 69930 Approved Hospital/Acute Care AR Medicaid H903-Sensorineural hearing loss, bilateral L8614 Approved Hospital/Acute Care AR Medicaid H903-Sensorineural hearing loss, bilateral OPAS Approved Hospital/Acute Care AR Medicaid D8689-Sarcoidosis of other sites OV Approved Hospital/Acute Care AR Medicaid D8689-Sarcoidosis of other sites OFVS Approved Hospital/Acute Care AR Medicaid N62-Hypertrophy of breast 19318 Approved Hospital/Acute Care AR Medicaid N62-Hypertrophy of breast OPAS Approved Hospital/Acute Care AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) 95811 Approved Hospital/Acute Care AR Medicaid G4733-Obstructive sleep apnea (adult) (pediatric) 95810 Approved Hospital/Acute Care AR Medicaid M5126-Other intervertebral disc displacement, lumbar region PT Approved Hospital/Acute Care AR Medicaid M5126-Other intervertebral disc displacement, lumbar region 97163 Approved Hospital/Acute Care AR Medicaid M5126-Other intervertebral disc displacement, lumbar region 97110 Approved Hospital/Acute Care AR Medicaid K828-Other specified diseases of gallbladder 47563 Approved Hospital/Acute Care AR Medicaid K8020-Calculus of gallbladder without cholecystitis without obstruction OPAS Approved Hospital/Acute Care AR Medicaid K8020-Calculus of gallbladder without cholecystitis without obstruction 47563 Approved Hospital/Acute Care AR Medicaid K8020-Calculus of gallbladder without cholecystitis without obstruction 47562 Approved Hospital/Acute Care AR Medicaid F5101-Primary insomnia 95810 Approved Hospital/Acute Care AR Medicaid F5101-Primary insomnia 95811 Approved Hospital/Acute Care AR Medicaid M5417-Radiculopathy, lumbosacral region EPI Approved Hospital/Acute Care AR Medicaid M5417-Radiculopathy, lumbosacral region 62323 Approved Hospital/Acute Care AR Medicaid Q9351-Angelman syndrome 64643 Approved Hospital/Acute Care AR Medicaid Q9351-Angelman syndrome 64645 Approved Hospital/Acute Care AR Medicaid M5416-Radiculopathy, lumbar region 62323 Approved Hospital/Acute Care AR Medicaid H6593-Unspecified nonsuppurative otitis media, bilateral 69436 Approved Hospital/Acute Care AR Medicaid M25552-Pain in left hip OPAS Approved Hospital/Acute Care AR Medicaid M25552-Pain in left hip 29916 Approved Hospital/Acute Care AR Medicaid M25552-Pain in left hip 29914 Approved Hospital/Acute Care AR Medicaid G4486-Cervicogenic headache 20552 Approved Hospital/Acute Care AR Medicaid R0683-Snoring 42820 Approved Hospital/Acute Care AR Medicaid M25552-Pain in left hip OPAS Approved Hospital/Acute Care AR Medicaid M25552-Pain in left hip 29916 Approved Hospital/Acute Care AR Medicaid M25552-Pain in left hip 29914 Approved Hospital/Acute Care AR Medicaid L600-Ingrowing nail OFVS Approved Hospital/Acute Care AR Medicaid L600-Ingrowing nail OV Approved Hospital/Acute Care AR Medicaid L600-Ingrowing nail 11750 Approved Hospital/Acute Care AR Medicaid L600-Ingrowing nail 99202 Approved Hospital/Acute Care AR Medicaid D229-Melanocytic nevi, unspecified 81479 Approved Hospital/Acute Care AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 81243 Approved Hospital/Acute Care AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 81425 Approved Hospital/Acute Care AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 81426 Approved Hospital/Acute Care AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 81479 Approved Hospital/Acute Care AR Medicaid F819-Developmental disorder of scholastic skills, unspecified 81329 Approved Hospital/Acute Care AR Medicaid H902-Conductive hearing loss, unspecified V5040 Approved Hospital/Acute Care AR Medicaid H902-Conductive hearing loss, unspecified V5267 Approved Hospital/Acute Care AR Medicaid Q825-Congenital non-neoplastic nevus OPAS Approved Hospital/Acute Care AR Medicaid Q825-Congenital non-neoplastic nevus 11404 Approved Hospital/Acute Care AR Medicaid L0591-Pilonidal cyst without abscess OPAS Approved Hospital/Acute Care AR Medicaid L0591-Pilonidal cyst without abscess 11772 Approved Hospital/Acute Care AR Medicaid L0591-Pilonidal cyst without abscess 17999 Approved Hospital/Acute Care AR Medicaid G40A09-Absence epileptic syndrome, not intractable, without status epilepticus 81229 Approved Hospital/Acute Care AR Medicaid G40A09-Absence epileptic syndrome, not intractable, without status epilepticus 81419 Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral OPAS Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral 92502 Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral 31526 Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral 31622 Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral 69436 Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral 92652 Approved Hospital/Acute Care AR Medicaid H6993-Unspecified Eustachian tube disorder, bilateral 92653 Approved Hospital/Acute Care AR Medicaid S728X1A-Other fracture of right femur, initial encounter for closed fracture PT Approved Hospital/Acute Care AR Medicaid S728X1A-Other fracture of right femur, initial encounter for closed fracture 97161 Approved Hospital/Acute Care AR Medicaid S728X1A-Other fracture of right femur, initial encounter for closed fracture 97110 Approved Hospital/Acute Care AR Medicaid J0391-Acute recurrent tonsillitis, unspecified OPAS Approved Hospital/Acute Care AR Medicaid J0391-Acute recurrent tonsillitis, unspecified 42821 Approved Hospital/Acute Care AR Medicaid R609-Edema, unspecified 93309 Approved Hospital/Acute Care AR Medicaid R609-Edema, unspecified 78452 Approved Hospital/Acute Care AR Medicaid H66006-Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral 69436 Approved Hospital/Acute Care AR Medicaid H66006-Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral 42830 Approved Hospital/Acute Care AR Medicaid G808-Other cerebral palsy 64643 Approved Hospital/Acute Care AR Medicaid G808-Other cerebral palsy 64645 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified OPAS Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 93458 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 93571 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 93567 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 92978 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 92920 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 92921 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 92924 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 92925 Approved Hospital/Acute Care AR Medicaid R079-Chest pain, unspecified 92934 Approved Hospital/Acute Care AR Medicaid T829XXA-Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter OPAS Approved Hospital/Acute Care AR Medicaid T829XXA-Unspecified complication of cardiac and vascular prosthetic device, implant and graft, initial encounter 36590 Approved Hospital/Acute Care AR Medicaid H7291-Unspecified perforation of tympanic membrane, right ear OPAS Approved Hospital/Acute Care AR Medicaid H7291-Unspecified perforation of tympanic membrane, right ear 69631 Approved Hospital/Acute Care AR Medicaid H7291-Unspecified perforation of tympanic membrane, right ear 21235 Approved Hospital/Acute Care AR Medicaid G4730-Sleep apnea, unspecified 95810 Approved Hospital/Acute Care AR Medicaid G808-Other cerebral palsy 64643 Approved Hospital/Acute Care AR Medicaid G808-Other cerebral palsy 64645 Approved Hospital/Acute Care AR Medicaid G808-Other cerebral palsy OPAS Approved Hospital/Acute Care AR Medicaid L0591-Pilonidal cyst without abscess 11771 Approved Hospital/Acute Care AR Medicaid L0591-Pilonidal cyst without abscess OPAS Approved Hospital/Acute Care AR Medicaid Z0120-Encounter for dental examination and cleaning without abnormal findings 41899 Approved Hospital/Acute Care AR Medicaid T2035XS-Burn of third degree of scalp [any part], sequela OPAS Approved Hospital/Acute Care AR Medicaid T2035XS-Burn of third degree of scalp [any part], sequela 17106 Approved Hospital/Acute Care AR Medicaid T2035XS-Burn of third degree of scalp [any part], sequela 17107 Approved Hospital/Acute Care AR Medicaid T2035XS-Burn of third degree of scalp [any part], sequela 17108 Approved Hospital/Acute Care AR Medicaid Q9381-Velo-cardio-facial syndrome 81408 Approved Hospital/Acute Care AR Medicaid Q9381-Velo-cardio-facial syndrome 81479 Approved Hospital/Acute Care AR Medicaid H6521-Chronic serous otitis media, right ear 69436 Approved Hospital/Acute Care AR Medicaid H6521-Chronic serous otitis media, right ear 42830 Approved Hospital/Acute Care AR Medicaid J353-Hypertrophy of tonsils with hypertrophy of adenoids OPAS Approved Hospital/Acute Care AR Medicaid J353-Hypertrophy of tonsils with hypertrophy of adenoids 42820 Approved Hospital/Acute Care AR Medicaid J0301-Acute recurrent streptococcal tonsillitis 42825 Approved Hospital/Acute Care AR Medicaid R0683-Snoring 42820 Approved Hospital/Acute Care AR Medicaid S32022S-Unstable burst fracture of second lumbar vertebra, sequela 95938 Approved Hospital/Acute Care AR Medicaid S32022S-Unstable burst fracture of second lumbar vertebra, sequela 95870 Approved Hospital/Acute Care AR Medicaid S32022S-Unstable burst fracture of second lumbar vertebra, sequela 95861 Approved Hospital/Acute Care AR Medicaid S32022S-Unstable burst fracture of second lumbar vertebra, sequela 95885 Approved Hospital/Acute Care AR Medicaid S32022S-Unstable burst fracture of second lumbar vertebra, sequela 95886 Approved Hospital/Acute Care AR Medicaid S32022S-Unstable burst fracture of second lumbar vertebra, sequela 95913 Approved Hospital/Acute Care AR Medicaid G4730-Sleep apnea, unspecified 95811 Approved Hospital/Acute Care AR Medicaid G4730-Sleep apnea, unspecified 95810 Approved Hospital/Acute Care AR Medicaid G4730-Sleep apnea, unspecified 95810 Approved Hospital/Acute Care AR Medicaid G243-Spasmodic torticollis 64616 Approved Hospital/Acute Care AR Medicaid N920-Excessive and frequent menstruation with regular cycle OPAS Approved Hospital/Acute Care AR Medicaid N920-Excessive and frequent menstruation with regular cycle 58571 Approved Hospital/Acute Care AR Medicaid M48061-Spinal stenosis, lumbar region without neurogenic claudication 63030 Approved Hospital/Acute Care AR Medicaid D485-Neoplasm of uncertain behavior of skin OPAS Approved Hospital/Acute Care AR Medicaid D485-Neoplasm of uncertain behavior of skin 11400 Approved Hospital/Acute Care AR Medicaid D485-Neoplasm of uncertain behavior of skin 42821 Approved Hospital/Acute Care AR Medicaid H6690-Otitis media, unspecified, unspecified ear OPAS Approved Hospital/Acute Care AR Medicaid H6690-Otitis media, unspecified, unspecified ear 69436 Approved Hospital/Acute Care AR Medicaid M5137-Other intervertebral disc degeneration, lumbosacral region 97161 Approved Hospital/Acute Care AR Medicaid M5137-Other intervertebral disc degeneration, lumbosacral region 97110 Approved Hospital/Acute Care AR Medicaid G4730-Sleep apnea, unspecified 95811 Approved Hospital/Acute Care AR Medicaid G4730-Sleep apnea, unspecified 95810 Approved Hospital/Acute Care AR Medicaid G802-Spastic hemiplegic cerebral palsy OPAS Approved Hospital/Acute Care AR Medicaid G802-Spastic hemiplegic cerebral palsy 64643 Approved Hospital/Acute Care AR Medicaid G802-Spastic hemiplegic cerebral palsy 64645 Approved Hospital/Acute Care AR Medicaid J353-Hypertrophy of tonsils with hypertrophy of adenoids OPAS Approved Hospital/Acute Care AR Medicaid J353-Hypertrophy of tonsils with hypertrophy of adenoids 42820 Approved Hospital/Acute Care AR Medicaid G801-Spastic diplegic cerebral palsy OPAS Approved Hospital/Acute Care AR Medicaid G801-Spastic diplegic cerebral palsy 64643 Approved Hospital/Acute Care AR Medicaid G801-Spastic diplegic cerebral palsy 64645 Approved Hospital/Acute Care AR Medicaid J3501-Chronic tonsillitis OPAS Approved Hospital/Acute Care AR Medicaid J3501-Chronic tonsillitis 42820 Approved Hospital/Acute Care AR Medicaid S72302D-Unspecified fracture of shaft of left femur, subsequent encounter for closed fracture with routine healing 20680 Approved Hospital/Acute Care ARMedicaid S76311A-Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter 97161 Approved Hospital/Acute Care ARMedicaid S76311A-Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter 97164 Approved Hospital/Acute Care ARMedicaid S76311A-Strain of muscle, fascia and tendon of the posterior muscle group at thigh level, right thigh, initial encounter 97110 Approved Hospital/Acute Care ARMedicaid K8020-Calculus of gallbladder without cholecystitis without obstruction OPAS Approved Hospital/Acute Care ARMedicaid K8020-Calculus of gallbladder without cholecystitis without obstruction 47562 Approved Hospital/Acute Care ARMedicaid H66006-Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral 69436 Approved Hospital/Acute Care ARMedicaid H66006-Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral 42830 Approved Hospital/Acute Care ARMedicaid H66006-Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral OPAS Approved Hospital/Acute Care AR MedicaidR1310-Dysphagia, unspecified92611Approved Hospital/Acute Care AR MedicaidR1310-Dysphagia, unspecified92526Approved Hospital/Acute Care ARMedicaid N939-Abnormal uterine and vaginal bleeding, unspecified 58558 Approved Hospital/Acute Care ARMedicaid J353-Hypertrophy of tonsils with hypertrophy of adenoids 42820 Approved Hospital/Acute Care ARMedicaid K8020-Calculus of gallbladder without cholecystitis without obstruction OPAS Approved Hospital/Acute Care ARMedicaid K8020-Calculus of gallbladder without cholecystitis without obstruction 47562 Approved Hospital/Acute Care ARMedicaid K8020-Calculus of gallbladder without cholecystitis without obstruction 47563 Approved Hospital/Acute Care AR MedicaidH0011-Chalazion right upper eyelid67808Approved Hospital/Acute Care AR MedicaidK029-Dental caries, unspecified41899Approved Hospital/Acute Care ARMedicaid T7402XS-Child neglect or abandonment, confirmed, sequela 41899 Approved Hospital/Acute Care ARMedicaid T7402XS-Child neglect or abandonment, confirmed, sequela 00170 Approved Hospital/Acute Care ARMedicaid T7402XS-Child neglect or abandonment, confirmed, sequela 92652 Approved Hospital/Acute Care ARMedicaid H66006-Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral OPAS Approved Hospital/Acute Care ARMedicaid H66006-Acute suppurative otitis media without spontaneous rupture of ear drum, recurrent, bilateral 69436 Approved Hospital/Acute Care ARMedicaid Z0000-Encounter for general adult medical examination without abnormal findings OPAS Denied Medical Necessity Not Established Hospital/Critical Access AR MedicaidF840-Autistic disorder97155DeniedMedical Necessity Not Established Physical Therapy & Rehab ARMedicaid F33-Major depressive disorder, recurrent T1019DeniedMedical Necessity Not Established Personal Care ARMedicaid R48-Dyslexia and other symbolic dysfunctions, not elsewhere classified T1019 Denied Medical Necessity Not Established Personal Care AR MedicaidF840-Autistic disorder97153DeniedMedical Necessity Not Established Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155DeniedMedical Necessity Not Established Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155DeniedMedical Necessity Not Established Licensed Behavioral Analyst AR MedicaidR454-Irritability and angerT1019DeniedMedical Necessity Not Established Personal Care AR MedicaidR45851-Suicidal ideationsT1019DeniedMedical Necessity Not Established Personal Care AR MedicaidR630-AnorexiaT1019DeniedMedical Necessity Not Established Personal Care AR MedicaidF41-Other anxiety disordersT1019DeniedMedical Necessity Not Established Personal Care ARMedicaid F902-Attention-deficit hyperactivity disorder, combined type T1019 Denied Medical Necessity Not Established Personal Care AR MedicaidF840-Autistic disorder97155DeniedUnknown Licensed Behavioral Analyst ARMedicaid P271-Bronchopulmonary dysplasia originating in the perinatal period E1390 Denied Medical Necessity Not Established Durable Medical Equipment ARMedicaid P271-Bronchopulmonary dysplasia originating in the perinatal period E0430 Denied Medical Necessity Not Established Durable Medical Equipment ARMedicaid R6250-Unspecified lack of expected normal physiological development in childhood 92507 Denied Exceeds Notification Limits Speech Language Pathologist ARMedicaid R6250-Unspecified lack of expected normal physiological development in childhood ST Denied Exceeds Notification Limits Speech Language Pathologist ARMedicaid F902-Attention-deficit hyperactivity disorder, combined type T1019 Denied Unknown Personal Care AR MedicaidF840-Autistic disorderT1019DeniedUnknown Personal Care ARMedicaid F900-Attention-deficit hyperactivity disorder, predominantly inattentive type T1019 Denied Medical Necessity Not Established Personal Care AR MedicaidF913-Oppositional defiant disorderT1019DeniedMedical Necessity Not Established Personal Care ARMedicaid F1120-Opioid dependence, uncomplicated G0480DeniedNot a Covered Benefit Multi-Specialty Group ARMedicaid F1120-Opioid dependence, uncomplicated G0481DeniedNot a Covered Benefit Multi-Specialty Group ARMedicaid F1120-Opioid dependence, uncomplicated G0482DeniedNot a Covered Benefit Multi-Specialty Group ARMedicaid F1120-Opioid dependence, uncomplicated G0483DeniedNot a Covered Benefit Multi-Specialty Group ARMedicaid Z022-Encounter for examination for admission to residential institution 80363 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80365 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80358 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80354 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80346 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80353 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80325 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80359 Denied Medical Necessity Not Established Laboratory ARMedicaid Z022-Encounter for examination for admission to residential institution 80348 Denied Medical Necessity Not Established Laboratory AR MedicaidF840-Autistic disorder97155DeniedUnknown Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153DeniedUnknown Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155DeniedUnknown Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155DeniedUnknown Licensed Behavioral Analyst AR MedicaidF70-Mild intellectual disabilitiesS5165DeniedMedical Necessity Not Established Base Level Providers AR MedicaidF840-Autistic disorder97155DeniedUnknown Physical Therapy & Rehab AR MedicaidF840-Autistic disorder97156DeniedUnknown Physical Therapy & Rehab AR MedicaidR620-Delayed milestone in childhood97110DeniedAdministrative Denial Hospital/Acute Care AR MedicaidR620-Delayed milestone in childhood97110DeniedAdministrative Denial Hospital/Acute Care AR MedicaidR620-Delayed milestone in childhoodT1015DeniedAdministrative Denial Hospital/Acute Care ARMedicaid G800-Spastic quadriplegic cerebral palsy E1399DeniedMedical Necessity Not Established Durable Medical Equipment AR MedicaidF840-Autistic disorder97153DeniedUnknown Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97153DeniedUnknown Licensed Behavioral Analyst ARMedicaid M9905-Segmental and somatic dysfunction of pelvic region 98940 Denied Medical Necessity Not Established Chiropractor ARMedicaid M9905-Segmental and somatic dysfunction of pelvic region 98941 Denied Medical Necessity Not Established Chiropractor ARMedicaid M9905-Segmental and somatic dysfunction of pelvic region 98942 Denied Medical Necessity Not Established Chiropractor AR MedicaidF72-Severe intellectual disabilitiesSUSSDeniedMedical Necessity Not Established W-Out of Home Respite AR MedicaidF840-Autistic disorderSUSSDeniedUnknown W-Out of Home Respite AR MedicaidF840-Autistic disorder97153DeniedUnknown Multi-Specialty Group AR MedicaidF840-Autistic disorder97155DeniedUnknown Multi-Specialty Group AR MedicaidF840-Autistic disorder97151DeniedUnknown Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97152DeniedUnknown Licensed Behavioral Analyst AR MedicaidF840-Autistic disorder97155DeniedUnknown Physical Therapy & Rehab ARMedicaid F909-Attention-deficit hyperactivity disorder, unspecified type T1019 Denied Medical Necessity Not Established Personal Care ARMedicaid F909-Attention-deficit hyperactivity disorder, unspecified type T1019 Denied Medical Necessity Not Established Personal Care ARMedicaid M47816-Spondylosis without myelopathy or radiculopathy, lumbar region OPAS Denied Medical Necessity Not Established Ambulatory Surgical Center ARMedicaid M47816-Spondylosis without myelopathy or radiculopathy, lumbar region 64463 Denied Medical Necessity Not Established Ambulatory Surgical Center ARMedicaid M47816-Spondylosis without myelopathy or radiculopathy, lumbar region 64494 Denied Medical Necessity Not Established Ambulatory Surgical Center AR MedicaidF840-Autistic disorder97151DeniedMedical Necessity Not Established Physical Therapy & Rehab ARMedicaid Q052-Lumbar spina bifida with hydrocephalus S9123 Denied Medical Necessity Not Established Home Health Agency ARMedicaid Q052-Lumbar spina bifida with hydrocephalus S9124 Denied Medical Necessity Not Established Home Health Agency ARMedicaid F802-Mixed receptive-expressive language disorder E1399 Denied Medical Necessity Not Established Speech Language Pathologist ARMedicaid G40909-Epilepsy, unspecified, not intractable, without status epilepticus S9123 Denied Medical Necessity Not Established Home Health Agency ARMedicaid G40909-Epilepsy, unspecified, not intractable, without status epilepticus S9124 Denied Medical Necessity Not Established Home Health Agency AR MedicaidG4730-Sleep apnea, unspecified42820DeniedMedical Necessity Not Established Hospital/Acute Care ARMedicaid R48-Dyslexia and other symbolic dysfunctions, not elsewhere classified T1019 Denied Medical Necessity Not Established Personal Care ARMedicaid F33-Major depressive disorder, recurrent T1019DeniedMedical Necessity Not Established Personal Care AR MedicaidH0011-Chalazion right upper eyelid67808DeniedMedical Necessity Not Established Hospital/Acute Care AR MedicaidH0011-Chalazion right upper eyelid67825DeniedMedical Necessity Not Established Hospital/Acute Care AR-PAS-P-3015866
Off Exchange Brochure Template
Off Exchange Brochure Template
HAP CareSource logo Marketplace We got you. 2025 Michigan Theres a lot of noise around health insurance these days. It can be difficult to know whats true about your coverage and what really matters. But at HAP CareSource, weve seen it all. HAP CareSource coverage is here when you need it. SAVING MONEY ON HEALTH INSURANCE Marketplace plans are the only plans that qualify for government-sponsored funds that help bring down the overall cost of the plan. APTC and CSR (see below) are calculated by the Health Insurance Marketplace when you submit your household size and income i nformation during the shopping and enrollment process at . If you qualify, it can save you money on your premium, as well as each time you get medical services. So, consider the total cost of your medical care when you pick a plan. Your total costs include your monthly premium and the payments you make when you get care. There are two ways the APTC and CSR are distributed: Advance Premium Tax Credit (APTC) Tax credit taken in advance, in whole or in part, to lower monthly premium payments. If you qualify, this can be used no matter what plan you enroll in. Cost-Sharing Reduction (CSR) CSRs lower the amount you have to pay for deductibles, copayments and coinsurance. CSRs only apply to Silver plans, so if you qualify for a CSR, you must enroll in a Silver plan to get it #. Shopping for a plan? Here are some basics to know if youre shopping for an individual or family health insurance plan. HAP CareSource Marketplace plans are Affordable Care Act (ACA) compliant, which means they are guaranteed to provide all the Essential Health Benefits required by the ACA. These benefits include: Ambulatory patient services (outpatient care you get without being admitted to a hospital) Emergency services Hospitalization (like surgery and overnight stays) Pregnancy, maternity and newborn care (both before and after birth) Mental health and substance use disorder services (this includes counseling and psychotherapy) Prescription drugs Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities or chronic conditions gain or recover mental and physical skills) Laboratory services Preventive and wellness services and chronic disease management Pediatric services, including vision care (adult vision coverage isnt classified as essential health benefits) Birth control coverage Breastfeeding coverage Marketplace-qualified plans also have pre-existing condition coverage and no lifetime or yearly dollar limits for essential health benefits. Individual and family health plans that arent Marketplace-qualified may not provide coverage for all of these items, so to make sure youre getting coverage for all services, purchase a Marketplace-qualified health plan. HAP CareSource s Marketplace-qualified Enhanced Benefit plans cover more than the essential health benefits; our plans offer adult vision and a fitness program with access to multiple fitness centers or home fitness kits. Our plans are comprehensive. There are no lifetime maximums for most benefits, no medical review for enrollment and we cover an extensive list of prescription drugs. HAP CareSource is now offering Marketplace members $0 copay telehealth office visits with 24/7 access to U .S. licensed physicians who can consult, diagnose and prescribe medications by phone or video for short-term illnesses, medical concerns and behavioral health issues . ENHANCED BENEFITS PACKAGE Our Enhanced Benefits packages add Vision and Fitness benefits to our Gold, Silver and Bronze plans for adults. If you choose an Adult Vision and Fitness plan, you pay one premium for your health and enhanced benefits coverage. Plus, HAP CareSource enhanced plans include the FREE fitness program, which gives you access to multiple fitness centers and gyms, digital fitness choices with home fitness tools, including one home fitness kit per benefit year with some kits including a wearable device (e.g. Fitbit or Garmin ), digital workouts and live lifestyle coaching. COVERAGE AREA counties in
© Copyright CareSource 2024. All rights reserved.
System Details