Common use of Expanded Services Clause in Contracts

Expanded Services. (See Attachment I) 1. The following services are defined as expanded services that may be offered by the Health Plan. The Health Plan shall define the services specifically in writing and submit them to HSD for approval before implementation. a. Services in excess of the amount, duration and scope of those listed in Attachment II, Section V, Covered Services, and Section VI, Behavioral Health Care; b. Services and benefits not listed in Attachment II, Section V, Covered Services, or Section VI, Behavioral Health Care; WellCare of Florida, Inc., Medicaid HMO Non-Reform Contract c. The Health Plan may offer, upon written Agency approval, an over-the-counter expanded drug benefit, not to exceed twenty-five dollars ($25) per household, per month. Such benefits shall be limited to nonprescription drugs containing a national drug code (NDC) number, first aid supplies and birth control supplies. Such benefits must be offered directly through the Health Plan's fulfillment house or through a subcontractor. The Health Plan shall make payments for the over-the-counter drug benefit directly to the subcontractor, if applicable. d. Adult Dental Services – routine preventive services, diagnostic and restorative services, radiology services and discounts on dental services; e. Adult Vision Services – eye exams, eyeglasses and contact lenses; f. Adult Hearing Services – hearing evaluations, hearing aid devices and hearing aid repairs. 2. The Health Plan’s approved expanded services under this Contract are listed in Attachment I.