Excluded services

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  1. (a) Except as provided in subsection (b) of this section, all healthcare services delivered through the Medicaid provider-led organized care system shall:

    1. (1) Be available for all members of covered Medicaid beneficiary populations; and

    2. (2) Be comparable in amount, duration, or scope as compared to other Medicaid-eligible individuals as specified in the state plan for medical assistance.

  2. (b) The Medicaid provider-led organized care system shall be implemented to the extent possible, but shall not include the following services when provided to enrollable Medicaid beneficiary populations:

    1. (1) Nonemergency medical transportation in a capitated program;

    2. (2) Dental benefits in a capitated program;

    3. (3) School-based services provided by school employees;

    4. (4) Skilled nursing facility services;

    5. (5) Assisted living facility services;

    6. (6) Human development center services; or

    7. (7) Waiver services provided to adults with physical disabilities through the ARChoices in Homecare program or the Arkansas IndependentChoices program.


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