What does DDD/ALTCS cover?


If you get approved for DDD and ALTCS here is what can be covered for your child:

Home Health Aide
Home Health Nurse
Day treatment
Employment Services
Home modifications


Occupational Therapy
Physical Therapy
Speech Therapy
Physical Health Services

  • Ambulatory surgery
  • Anti-hemophilic agents and related services
  • Audiology
  • Behavioral Health
  • Chiropractic services 21
  • Dental services–For members who are 21 years of age and older. These dental services are limited to a total of $1000 for each 12-month period, includes: ◦ Treatment of a medical condition such as acute pain (not Temporomandibular Joint Dysfunction-TMJ pain except for reduction of trauma) ◦ Treatment for infection or fracture of the jaw ◦ Exam with problem and treatment of the oral cavity ◦ Required radiographs ◦ Complex oral surgical procedures ◦Appropriate anesthesia ◦ Prescription of pain medication and antibiotics ◦ Prophylactic extraction of teeth in preparation for radiation treatment of cancer of the jaw, neck or head ◦ Other dental services, including dentures.
  • Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
  • Early detection health risk assessment, screening, treatment, and primary prevention
  • Emergency services
  • Eye examinations/optometry
  • Family planning
  • Foot and ankle services
  • Hospital services
  • Immunizations
  • Incontinence supplies
  • Laboratory
  • Maternity services
  • Medical foods
  • Medical supplies, Durable Medical Equipment (DME), orthotic, and prosthetic devices
  • Medically-necessary pregnancy termination (including Mifepristone [Mifeprex] or RU-486)
  • Nutrition
  • Oral health
  • Physician services
  • Podiatry services
  • Post-stabilization care services
  • Pre-natal HIV testing and counseling
  • Prescription medications
  • Primary Care Provider (PCP) services
  • Radiology and medical imaging
  • Rehabilitation therapy 22
  • Transplantation of organs, tissue, and related prescriptions
  • Transportation
  • Triage/Screening and evaluation
  • Vision Services/Ophthalmology/Optometry
  • Well visitsBehavioral Health Services
  • Behavior Analysis Services
  • Behavior Management (personal care, family support/home care training, peer support)
  • Behavioral Health Case Management Services (with limitations)
  • Behavioral Health Nursing Services
  • Emergency Behavioral Health Care
  • Emergency and Non-Emergency Transportation
  • Evaluation and Assessment
  • Individual, Group and Family Therapy, and Counseling
  • Inpatient Hospital Services
  • Non-Hospital Inpatient Psychiatric Facilities
  • Laboratory and Radiology Services for Psychotropic Medication Regulation and Diagnosis 25
  • Opioid Agonist Treatment
  • Partial Care (supervised day program, therapeutic day program, and medical day program)
  • Psychosocial Rehabilitation (living skills training; health promotion; supportive employment services)
  • Psychotropic Medication Adjustment and Monitoring
  • Rehabilitation Services (living skills training; health promotion; supported employment services)
  • Respite Care (with limitations)
  • Rural Substance Abuse Transitional Agency Services
  • Screening

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