Obtaining Medicaid covered services not in plan contract
NE | PA"5.3 Enrollment Activities
The EBS shall complete the following enrollment activities for mandatory clients: ...
(9) An explanation of services not covered under NHC and how the client may access these services." Nebraska Contract, page 50."2. Recipient Education
All materials must be prior approved by the Department. The contractor must develop and implement a plan to: ...
c. Provide an LCHP Recipient Handbook which must contain but not limited to:
(1.) LCHP overview.
(2.) Description of all services available whether or not a referral is required.
(3.) The process of receiving care, i.e., referral requirements..." Pennsylvania Program Standards, Rider 2.