![]() ![]() Methadone (Maintenance and Administration) Mental Health Outpatient Services (Excluding Partial Care Services) Mental Health Inpatient Hospital Services (Including Psychiatric Hospitals)Ĭovered for all beneficiaries by Fee-for-Service. Intermediate Care Facilities/Intellectual DisabilityĬoverage includes routine testing related to the administration of atypical antipsychotic drugsĬare and hearing screening Medical Day Care Hospice care for children under age 21 shall cover both palliative and curative care. Room and board are included only when services are delivered in an institutional (non-private residence) setting. Physical Therapy, Occupational Therapy and Speech Therapy services Ĭovered in the community as well as in institutional settings. Nursing services by a registered nurse and/or licensed practical nurse Horizon NJ Health shall cooperate with the medical, nursing and administrative staff to ensure members have timely and appropriate access to participating providers and to coordinate care between participating providers and those providers employed by facilities/group homes Group Homes and DCP&P ResidentialĬoverage limited to services provided by Horizon Covered by Fee-for-Service for elective/induced abortions.Ĭovered when provided by a licensed doctorĪudiology (see EPSDT for hearing screenings)Ĭoverage is limited to spinal manipulationĬognitive Rehabilitation Therapy (see also Rehabilitation Services)Ĭovered for members up to age 21 years old when medically necessaryĮmergency Medical Care/Emergency ServicesĮPSDT (Early & Periodic Screening, Diagnosis & Treatment)Ĭoverage includes: Medical examinations Dental, vision, hearing and lead screening services Treatment services identified through the examination Covered when services provided by a participating Horizon NJ Health provider.Ĭovered by Fee-for-Service when services are not given by a Horizon NJ Health provider. ![]() Covered by Horizon NJ Health for spontaneous abortions/miscarriages. ![]()
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