§140.922. Covered Services

a)         Medical Services

All services covered under the Illinois Medical Assistance Program shall be available to recipients participating in the Maternal and Child Health Program.

 

b)         Case Management Services

Case management for Medicaid recipients is defined as a function necessary for the proper and efficient operation of the Medicaid State Plan.   Services include but are not limited to:

 

1)         Coordination of Medicaid covered services;

 

2)         Arranging for transportation to and from a source of medical care;

 

3)         Client education regarding covered services, the benefits of preventive medical and dental care, and how to efficiently utilize the health care system and access services;

 

4)         Prenatal education or health education;

 

5)         Referral for services such as Women, Infants and Children (WIC);

 

6)         Assistance to ensure client compliance with services prescribed/recommended by the Maternal and Child Health Provider (such as, substance abuse treatment, Early Intervention services, psychiatric services/mental health, specialty care); and

 

7)         Outreach and case finding.

 

(Source:  Amended at 20 Ill. Reg. 4345, effective March 4, 1996)