TITLE 1: GOVERNMENT
DIVISION 2: EXECUTIVE BRANCH
§ 20198. Amount, Duration, and Scope of Services. The following services may be provided to those determined to be eligible for Medicaid in accordance with the Centers for Medicare and Medicaid Services approved Medicaid State Plan Amendment(s) and subject to available funding. The following is a description of services that are mandatory or optional under Title XIX. The services that are mandatory in Title XIX must be provided. Optional services are not required to be provided. The Commonwealth Medicaid Agency may add or limit optional services through the state plan amendment. The Mandatory and Optional Services as may be provided in the State Plan, as may be amended, may include, but not be limited to, the following: (a) Services (1) Inpatient Hospital Services (2) Outpatient Hospital Services (3) Laboratory and X-Ray Services (4) Nursing Facility Services (5) Early and Periodic Screening, Diagnosis and Treatment (EPSDT) (6) Family Planning Services (7) Physician Services (8) Home Health Services (9) Transportation to medical care (10) Nurse Midwife Services (11) Clinic Services (12) Tobacco cessation counseling for pregnant women (b) The Commonwealth Medicaid Agency may limit services, providers, and payment amounts. (c) The Commonwealth Medicaid Agency shall require the Commonwealth Healthcare Corporation to certify that it is able to provide the services required of a Medicaid beneficiary prior to authorizing other providers. (d) The Commonwealth Medicaid Agency may use any of the available waivers and other programs to implement programs that will improve care or lessen costs. Source: PL 21-28, § 2 (May 22, 2020). Commission Comment: The Commission numbered this section pursuant to 1 CMC § 3806(a).