Covered Benefit. The DMMA shall provide or arrange for the provision of pharmacy services to Medicaid Recipients.
Covered Benefit. Exclusion ⮚ Accidental Injury (Trauma), Urgent Care, Emergency Health Care Services, and Observation Services This benefit has one or more exclusions as specified in the Exclusions Section. • Urgent Care Urgent Care is Medically Necessary medical or surgical procedures, treatments, or Health Care Services you receive in an Urgent Care Center or in a Practitioner’s/Provider’s office for an unforeseen condition due to illness or injury. Urgent conditions are not life-threatening, but require prompt medical attention to prevent a serious deterioration in your health. o Members are encouraged to contact their Primary Care Physicians for an appointment, if available, before seeking care from another Practitioner/Provider. o We must Prior-Authorize follow-up care by an Out-of-network Practitioner/Provider. The Member will be responsible for charges that we do not Cover. If you believe the condition to be treated is life threatening, you should seek Emergency Health Care Services as outlined below. • Emergency Health Care Services o This Agreement covers acute Emergency Health Care Services 24 hours per day, 7 days per week, when those services are needed immediately to prevent jeopardy to your
Covered Benefit. The Department or Medicaid MCO shall provide or arrange for the provision of pharmacy and DME services to Illinois Medicaid Enrollees.
Covered Benefit. Each Participating Medicaid Program shall provide or arrange for the provision of pharmacy services to Medicaid Recipients.
Covered Benefit. The Department or Medicaid MCO shall provide or arrange for the provision of Covered Outpatient Drug services to Illinois Medicaid Enrollees.
