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Introduction
Authorizations
Table of Contents
Section A
Abortion; Acquired Immune Deficiency Syndrome (AIDS); Alcohol and Drug Abuse; and Allergy Testing and Serum
Section B
Blood and Blood Products
Section C
Cataract Spectacles and Lenses; Chemotherapy; Circumcision; and Cosmetic Surgery
Section D
Dental Services; Diagnostic and 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 Supplements and Special Formulas
Section O
Organ Transplants; Orthotics 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 Aides; and Vision Screening
Appendix "A" (DME and Supplies Grid)
Index