- primary and preventive health care services (well child visits and immunizations)
- office visits (sick visits and follow-up care)
- urgent care visits not including emergency care in a hospital outpatient or emergency department
- outpatient surgery and anesthesia for tympanostomy (ear) tube placement and for inguinal hernia
- diagnostic laboratory and x-rays
- auditory screenings
- annual and medically necessary eye exams
- dental health care, including preventative dental services, up to $750 per state fiscal year, and provided that no funds be expended for cosmetic dentistry and orthodontic services
- mental health outpatient services including substance abuse services, limited to 20 visits per year
- pharmacy services limited to $200 per state fiscal year
- durable medical equipment, up to $200 per state fiscal year, with an additional $300 per state fiscal year for equipment and supplies related to asthma, diabetes and seizure disorder only
Some examples of services not covered by CMSP
- emergency room services
- ambulance or other medical transportation
- inpatient hospital care
- cosmetic or orthodontic dentistry
| Last updated: | December 31, 2024 |
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