| Adult Behavioral Health Services for Community Independence (ABHSCI) |
Age 18 and Older |
| Applied Behavior Analysis (ABA) |
Children with Autism |
| Adult Development Day Treatment (ADDT) |
Pre-School and Age 18 and Older |
| Ambulatory Surgical Center Services |
All Ages |
| ARKids First-B (not a medical service; eligible beneficiaries are covered through the Child Health Insurance Program (CHIP) Title XXI funded) |
Under Age 21 |
| Audiological Services |
Under Age 21 |
| Certified Registered Nurse Anesthetist (CRNA) Services |
All Ages |
| Chiropractic Services |
All Ages |
| Dental Services |
Under Age 21 |
| Developmental Rehabilitation Services |
Under Age 3 |
| Durable Medical Equipment |
All Ages |
| Early Intervention Day Treatment (EIDT) |
Under Age 21 |
| End-Stage Renal Disease (ESRD) Facility Services |
All Ages |
| Health Care Independence Program (provides all Essential Health Benefits) ABP-Medically Frail |
Age 19-64 |
| Hearing Aid Services |
Under Age 21 |
| Hospice Services |
All Ages |
| Hyperalimentation Services |
All Ages |
| IndependentChoices (Self-Directed Personal Assistance) |
Age 18 and Older |
| Inpatient Psychiatric Services |
Under Age 21 |
| Intermediate Care Facility (ICF) Services for Individuals with Intellectual Disabilities |
All Ages |
| Medical Supplies |
All Ages |
| Medicare Crossovers (not a medical service) |
All Ages |
| Nursing Facility Services |
Under Age 21 |
| Occupational, Physical and Speech-Language Therapy Services |
Under Age 21 |
| Orthotic Appliances |
All Ages |
| Outpatient Behavioral Health Services (OBHS) |
All Ages |
| Personal Care Services |
All Ages |
| Podiatrist Services |
All Ages |
| Portable X-Ray |
All Ages |
| Prescription Drugs |
All Ages |
Private Duty Nursing Services
(High Technology, Non-Ventilator Dependent, EPSDT Program) |
Under Age 21 |
Private Duty Nursing Services
(Non-Ventilator Dependent Beneficiaries) |
Age 21 or Older |
Private Duty Nursing Services
(Ventilator Dependent Beneficiaries) |
All Ages |
Program of All-Inclusive Care for the Elderly (PACE)
(*Participants must meet additional medical and non-medical criteria in addition to age eligibility.) |
Age 55 and Older* |
| Prosthetic Devices |
All Ages |
| Rehabilitative Hospital and Extended Rehabilitative Hospital Services |
All Ages |
| Rehabilitative Services for Persons with Physical Disabilities (RSPD), and Youth and Children |
Under Age 21 |
| Respiratory Care Services |
Under Age 21 |
| School-Based Mental Health Services |
Under Age 21 |
| Targeted Case Management for Beneficiaries of DDS Children’s Services (Title V Agency) |
Under Age 21 |
| Targeted Case Management for DDS Children’s Services (Title V Agency) who are SSI Beneficiaries and TEFRA Waiver Participants |
Under Age 16 |
| Targeted Case Management for Beneficiaries with Developmental Disabilities |
Age 21 or Under |
| Targeted Case Management for Beneficiaries with Developmental Disabilities |
Age 22 or Older |
| Targeted Case Management for Beneficiaries in the Child Health Services
(EPSDT) Program |
Under Age 21 |
| Targeted Case Management for Beneficiaries in the Division of Children and Family Services |
Under Age 21 |
| Targeted Case Management for Beneficiaries in the Division of Youth Services |
Under Age 21 |
| Targeted Case Management for Adult Beneficiaries |
Age 60 and Older and ARChoices Participants |
| Targeted Case Management for Pregnant Women |
Pregnant Women - All Ages |
| Ventilator Equipment |
All Ages |
| Visual Care Services |
All Ages |