Table 4: Benefit Packages |
PACKAGE CODE
|
PACKAGE DESCRIPTION
|
A
|
Global Choices, Mandatory Populations Benefit Package
|
B
|
Global Choices, Mandatory Populations Benefit Package
|
C
|
Global Choices, Expansion Populations Benefit Package
|
D
|
Global Choices, Expansion Populations Benefit Package
|
E
|
Global Choices, Breast & Cervical Cancer Treatment Program Benefit Package
|
F
|
Comprehensive Choices, Long Term Care Basic Benefit Package
|
G
|
Comprehensive Choices, Long Term Care Basic Benefit Package
|
H
|
Comprehensive Choices, Long Term Care Basic, ABI Benefit Package
|
I
|
Comprehensive Choices, Long Term Care Basic, Ventilator Benefit Package
|
J
|
Comprehensive Choices, Long Term Care Basic, Ventilator Benefit Package
|
K
|
Comprehensive Choices, Long Term Care Basic Benefit Package
|
L
|
Comprehensive Choices, Long Term Care Basic Benefit Package
|
M
|
Comprehensive Choices, Long Term Care Basic, ABI Benefit Package
|
O
|
Comprehensive Choices, Long Term Care Basic, Ventilator Benefit Package
|
P
|
Comprehensive Choices, Long Term Care Basic, Ventilator Benefit Package
|
Q
|
Comprehensive Choices, Long Term Care, High Intensity, Benefit Package
|
R
|
Comprehensive Choices, Long Term Care, High Intensity, Hospice Benefit Package
|
S
|
Optimum Choices Basic, Mandatory Populations Benefit Package
|
T
|
Optimum Choices Basic, Mandatory Populations Benefit Package
|
U
|
Optimum Choices Targeted Benefit Package
|
V
|
Optimum Choices Targeted Benefit Package
|
W
|
Optimum Choices Basic, Expansion Populations Benefit Package
|
X
|
Optimum Choices Basic, Expansion Populations Benefit Package
|
Z
|
Optimum Choices Targeted Benefit Package
|
0
|
Optimum Choices Targeted Benefit Package
|
1
|
Optimum Choices High Intensity Benefit Package
|
2
|
Family Choices, Mandatory Populations, Medicaid Children Benefit Package
|
3
|
Family Choices, Expansion Populations, Medicaid Children Benefit Package
|
4
|
Family Choices, Expansion Populations, KCHIP 2 Benefit Package
|
5
|
Family Choices, Expansion Populations, KCHIP 3 Benefit Package
|
6
|
Passport MCO Benefit Package
|
7
|
Medicare Savings Benefit Package
|
8
|
Passport MCO Benefit Package
|