Yes

No

N/A

No

Birth through 20 years of age: Yes
21 years of age or older: No

Yes

Yes

Yes

N/A

Yes

Yes

Yes

Unlimited

Unlimited for Medicaid only Waiver Members

N/A

Receive prescriptions through Medicare Part D. Dual eligible clients no longer receive any prescription benefits through Medicaid

Birth through 20 years of age: Unlimited
21 years of age or older: 3 per month

Unlimited

TMHP authorizes

and pays these claims for clients that are 20 years of age or younger

Managed care organization (MCO) authorizes and pays these claims. (MCOs authorize and pay claims for Primary Home Care Services for members that are 20 years of age or younger)

N/A

Part of 1915(b) Long Term Support Services (LTSS). MCO authorizes and pays these claims.

TMHP authorizes

and pays these claims

TMHP authorizes

and pays these claims