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Introduction

Authorizations

Table of Contents

Section A
Abortion; Acquired Immune Deficiency Syndrom (AIDS); Alcohol and Drug Abuse; and Allergy Testing and Serum

Section B
Blood and Blood Products

Section C
Cataract Spectacles and Lenses; Chemotherapy; Circumcision; Cosmetic Surgery

Section D
Dental Services; Diagnostic ant Therapeutic Radiological Services; and Durable Medical Equipment (DME) and Supplies

Section E
Emergency Health Care Services; and Epidural Anesthesia

Section F
Family Planning

Section G
Genetic Testing

Section H
Health Education; Hearing Aides and Services; Hemodialysis; Home Health Care; and Hospice Services

Section I
Immunizations; and Inpatient Hospital Services

Section L
Laboratory

Section M
Medical Transportation Services; and Mental Health

Section N
Newborn Child Coverage; and Nutritional Suppliments and Special Formulas

Section O
Organ Transplants; Orthodics and Prosthetics; and Outpatient Services

Section P
Perinatal Services; Periodic Health Exams; Phenylketonuria; Physical, Occupational and Speech Therapy; Perscription Drugs; Preventive Health Services; and Professional Services

Section R
Reconstructive Surgery

Section S
Skilled Nursing Facility

Section T
Tuberculosis (TB)

Section V
Vision Benefits

Appendix "A" (DME and Supplies Grid)

Index