Section 220.100. Family Planning Benefit Limits.
- 016.06.31–220.110. Family Planning Visit Benefit Limit.
- 016.06.31–220.120. Implantable Contraceptive Capsules Benefit Limit.
- 016.06.31–220.130. Intrauterine Device (Iud).
- 016.06.31–220.140. Sterilization.
- 016.06.31–220.150. Post-Sterilization Visit.
- 016.06.31–220.200. Extension of Benefits
- 016.06.31–220.201. Benefit Extension Requests 8–1–21
- 016.06.31–220.202. Request for Extension of Benefits for Clinical, Outpatient, Diagnostic Laboratory, and Radiology/Other Services, Form Dms–671.
- 016.06.31–220.203. Documentation Requirements.
- 016.06.31–220.204. Provider Notification of Benefit Extension Determinations 8–1–21
- 016.06.31–220.205. Reconsideration of Benefit Extension Denials.
- 016.06.31–220.210. Appealing an Adverse Action.
- 016.06.31–220.220. Recipient Appeal Process for Denial of Service Coverage or Benefit Extension.
- 016.06.31–220.300. Benefit Limits for Other Ambulatory Services Encounters.