Covered services are necessary health services, which are delivered the CMDP members at the direction of the member's primary care provider (PCP). Covered services for AHCCCS are listed in this manual.
A provider’s service or supply for which the plan will pay. Not all services prescribed or performed by a provider are necessarily a covered service.
a service, item, or supply for which Medicaid reimbursement is available when all program requirements are met
a service that is given the okay by the Behavioral Health System
Period of employment during which an employee is a participant in an employee benefit plan.
A service that CBH pays for, like seeing a counselor.
A service which is covered according to the terms in your health care benefits plan.
The items or services payable under the member contract.
A service or supply that is available under the plan, when medically necessary and obtained in full compliance with all plan rules-including the plan delivery system rules. A charge for a covered service shall be considered to have been incurred on the date the service or supply was provided.