The Basic Augmented Benefit package includes those services that will be made available to Medicaid-entitled individuals and, to the extent the resources are available, to non-Medicaid individuals meeting Priority population criteria. A consumer requiring this level of benefit is in need of more than the automatically authorized eight (8) or twelve (12) visits in order to maintain or improve his/her level of functioning. An authorization for the services available in this level will need to be requested through the LME/MCO’s Utilization Management Unit. Authorization is based on the consumer’s need and medical necessity criteria for the services requested.



Page last modified: October 15, 2015
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