Manual Archive

Chapter 100 - General Information Effective September 1, 2003 and revised January 1, 2005
Chapter 200 - Definitions Effective September 1, 2003
Chapter 300 - Provider Participation Requirements Effective September 1, 2003 and revised March 1, 2007
Chapter 400 - Member Eligibility Effective October 1, 2003 and revised January 1, 2005

Chapter 500 - Lab and Radiology Effective July 1, 2004 and revised January 1, 2005

Chapter 501 - Aged & Disabled Waiver Effective November 1, 2003 and revised January 1, 2008
Chapter 501 - Aged & Disabled Waiver Effective September 1, 2011 and revised June 1, 2014

Chapter 502 - Behavioral Health Clinic Effective July 1, 2004 and revised January 1, 2006
Chapter 502 - Behavioral Health Clinic Effective July 1, 2014

Chapter 503 - Behavioral Health Rehabilitation Effective July 1, 2004 and revised January 1, 2006
Chapter 503 - Behavioral Health Rehabilitation Effective July 1, 2014

Chapter 504 - Chiropractic Services  Effective October 1, 2005

Chapter 505 - Dental Services Effective November 1, 2010
Chapter 505 - Dental Services Effective January 16, 2012

Chapter 506 - DME/Medical Supplies  Effective May 1, 2005 and revised January 1, 2008
     Appendix 506A Covered DME Supplies Effective October 1, 2015 to January 1, 2016
     Appendix 506B Covered O and P Supplies Effective October 1, 2015 to January 1, 2016
     Appendix 506C Non-covered DMEPOS Supplies Effective October 1, 2015 to January 1, 2016

Chapter 507 - ASC & Birthing Centers Effective June 1, 2005 revised February 15, 2006

Chapter 508 - Home Health  Effective July 1, 2004 and last revised on July 1, 2010

Chapter 509 - Hospice Services July 1, 2004
Chapter 509 - Hospice Services May 1, 2014

Chapter 510 - Hospital Services Effective July 1, 2004 and revised on January 12, 2006

Chapter 511 - ICF/MR Services Effective July 1, 2004

Chapter 512 - Traumatic Brain Injury Waiver Effective February 1, 2012 and revised Feb 1, 2013

Chapter 513 - IDD Waiver Services Effective October 1, 2011
Chapter 513 - MR/DD Waiver Services Effective December 1, 2004 and revised January 1, 2009

Chapter 514 - Nursing Facility Services Effective January 1, 2005 and revised April 10, 2010

Chapter 515 - Occupational/Physical Therapy Effective July 1, 2004 and revised May 1, 2005

Chapter 516 - Orthotic & Prosthetic Services Effective March 1, 2007 and revised January 1, 2008

Chapter 517 - Personal Care Effective January 1, 2014

Chapter 518 - Pharmacy Services Effective April 17, 2006 and revised November 1, 2010
Chapter 518 - Pharmacy Services Effective January 1, 2010 to November 1, 2013

Chapter 519 - Practitioner Services  July 1, 2005 and revised January 16, 2012
  Policy 519.3 Antigen and Allergy Services Valid January 15, 2016 to February 19, 2016

Chapter 520 - Podiatry Services  Effective July 1, 2004 and revised February 15, 2006

Chapter 521 - Psychological Services Effective September 1, 2003 and revised January 1, 2006

Chapter 522 - RHC FQHC Services Effective July 1, 2004

Chapter 523 - Targeted Case Management Effective May 1, 2004 and revised January 1, 2006

Chapter 524 - Transportation  Effective September 1, 2003 and revised September 15, 2005

Chapter 525 - Vision Services Effective September 1, 2003 and revised April 14, 2006
Chapter 525 - Vision Services Effective October 1, 2015

Chapter 526 - Children with Disabilities Community Services Program (CDCSP)  September 1, 2008

Chapter 527 - Mountain Health Choices Effective January 30,2009 and Retired September 2011

Chapter 528 - Radiology Services Effective January 1, 2010
     Radiology Services Requiring Prior Authorization Effective January 1, 2013

Chapter 529 - Laboratory Services Effective January 1, 2010
     Laboratory Services regarding prior authorizsation Effective August 5, 2013

Chapter 530 - Speech and Audiology Services Effective January 1, 2012

Chapter 531 - Psychiatric Residential Treatment Facility Services Effective May 1, 2013

Chapter 532 - Private Duty Nursing Effective September 1, 2012
Chapter 532 - Private Duty Nursing Effective September 15, 2015

Chapter 538 - School Based Health Services  Effective August 1, 2015 to August 1, 2017

Chapter 600 - Reimbursement Methodologies Effective September 1, 2003 and revised January 1, 2006

Chapter 800 - General Administration Effective Janaury 1, 2009

Chapter 800B - Quality and Program Integrity Effective December 1, 2012

Chapter 900 - Estate Recovery Effective July 2008

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