Common use of Basic Benefit Package Clause in Contracts

Basic Benefit Package. The MCP shall ensure members have timely access to all services outlined in OAC rule 5160-26-03 in an amount, duration, and scope that is no less than the amount, duration, and scope for the same services furnished to members under FFS Medicaid and in accordance with 42 CFR 438.210, with limited exclusions, limitations, and clarifications (specified in this appendix), including emergency and post-stabilization services pursuant to 42 CFR 438.114. For information on Medicaid-covered services, the MCP shall refer to the Ohio Department of Medicaid (ODM) website. Services covered by the MCP benefit package shall include: a. Inpatient hospital services; b. Outpatient hospital services; c. Services provided by rural health clinics (RHCs) and federally qualified health centers (FQHCs); d. Physician services whether furnished in the physician’s office, the member’s home, a hospital, or elsewhere; e. Laboratory and x-ray services;