Benefit

Benefit Policy

Attachment: ABA Service Utilization Guidelines

Attachment: Benefit Grid by Funding Source

Attachment: GF Medication Only Exception Request

Attachment: SED Uninsured-Underinsured Service Utilization Guidelines

Attachment: SEDW Service Utilization Guidelines

Attachment: SUD MAT MHL Service Utilization Guidelines

Attachment: SUD Service Utilization Guidelines

Attachment: UM CWP SUG

Attachment: UM IDD SUG

Attachment: UM MHL SUG

Attachment: UM SED SUG

Attachment: UM SMI SUG

Attachment: Uninsured-Underinsured Service Utilization Guidelines